| NPI | 1730737610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON MARTIN President 317-220-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |