NPI | 1861691222 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM KARL LENTZ President 317-897-9819 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: IN 18002887B) |
Enumeration Date | 2007-07-16 |
Last Update Date | 2007-07-16 |