| NPI | 1912431636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BROOKE KREBS Member/Owner 989-872-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MI 4301075068) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |