| NPI | 1851561906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VANDERBAAN Owner 616-451-0896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |