NPI | 1972935906 |
---|---|
Other Name | MAIN OPTICAL |
Entity Type | Organization |
Authorized Contact | GREGORY R. LOCHEN President 262-547-3352 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2013-08-01 |
Last Update Date | 2019-11-19 |