| NPI | 1952712101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA BOMAN Insurance Director 812-258-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |