| NPI | 1710429592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WIMMER Owner/Optician 276-403-4678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: VA 8410) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-11-10 |