| NPI | 1881882215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MICHAEL WOOD Owner 812-649-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 18001549A) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2008-02-12 |