| NPI | 1902606510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL STEINHORST CEO 920-429-7489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-03-14 |