| NPI | 1811139736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES GIBBONS HOLLAND Owner 317-578-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 18002199b) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2011-05-23 |