| NPI | 1841227378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARA J. HENNEKE President 319-753-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: not required) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-06-22 |