| NPI | 1730349226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM F BOURDON Sec/Treas 231-755-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |