| NPI | 1992811632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRY MARIE WALTON Manager 231-924-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MI 1262670001) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2008-01-10 |