| NPI | 1679752869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENORE TRACEY Co Pres 574-271-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 0111574072) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |