NPI | 1710376645 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA DUGGINS Office Manager 765-459-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-01-15 |
Last Update Date | 2015-01-15 |