| NPI | 1982150835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH L. CURTIS President 219-655-9398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 156FC0800X Technician/Technologist, Contact Lens | |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |