| NPI | 1902955834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITNEY LOUISE PRIEST General Manager 765-962-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2008-06-18 |