| NPI | 1992969083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD P. RUCK President 920-233-7825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WI 1710-035) |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2009-06-18 |