NPI | 1912189507 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY JOSEPH CLOSE President 260-482-9514 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: IN 18001912) |
Enumeration Date | 2007-12-05 |
Last Update Date | 2008-03-17 |