| NPI | 1740464296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD SIMS President 773-863-9234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: IL 046-009243) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IL 046-009243) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2013-09-11 |