NPI | 1699827394 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN S DUDLEY President 920-235-3546 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2013-01-16 |