| NPI | 1881657724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA BEYERS Owner 812-279-3466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 132750) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-08-22 |