| NPI | 1922273556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L PETERS Owner 989-224-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MI 002404) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2013-04-26 |