NPI | 1003685595 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL W KODA Chief Operating Officer 240-997-1116 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2023-12-26 |
Last Update Date | 2023-12-26 |