| NPI | 1780957589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALAN ROUSH President 260-347-3611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 56000032A) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-13 |