| NPI | 1972545697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD SHOOK Executive Director 517-337-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2024-08-07 |