| NPI | 1760993810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE M TRUEX Insurance Specialist 260-484-2691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2018-11-15 |