| NPI | 1861677007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH YVONNE BRADTKE Owner 563-875-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |