| NPI | 1679921720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A STATTON Optician 402-486-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NE ABOC 081991) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |