| NPI | 1811156516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH N DADO Md 708-425-7088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: 11473835) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-10 |