NPI | 1003276825 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID D REED O PT Ical Director 410-939-6477 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MD TA1239) |
Enumeration Date | 2016-03-07 |
Last Update Date | 2016-03-07 |