NPI | 1841345543 |
---|---|
Entity Type | Organization |
Authorized Contact | LANCE P STEAHLY Owner 217-529-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 207W00000X Ophthalmology |
152W00000X Optometrist | |
Enumeration Date | 2007-01-24 |
Last Update Date | 2008-01-23 |