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 |