| NPI | 1700955929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J DIETZE Owner 402-462-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2022-07-21 |