NPI | 1891897187 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN ROTHEKER C.E.O. 812-232-4925 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: IN 01842) |
Enumeration Date | 2006-09-05 |
Last Update Date | 2020-08-22 |