| NPI | 1043334386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE L PADDOCK President 508-771-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MA 1271) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-07-03 |