| NPI | 1063859734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN PATRICK ALLOUCHE Ownner 202-347-9260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: DC 70170857) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-11-27 |