| NPI | 1023286630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND W BURDICK Owner 570-465-3188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA OEG000478) |
| Enumeration Date | 2008-02-16 |
| Last Update Date | 2008-02-16 |