| NPI | 1972836310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA C. DAVENPORT Manager 260-347-1128 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |