| NPI | 1720128846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA J SPIKER Office Manager 573-518-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-08-29 |