| NPI | 1902479033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN MARIE KOBERNUSZ Optician 605-421-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-07-16 |