NPI | 1730451279 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ALAN ROUSH President 260-347-3458 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2012-01-30 |
Last Update Date | 2012-03-01 |