| NPI | 1740405067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A. PLAGER Supervisor 317-274-8389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: IN 01032833A) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |