| NPI | 1083993380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE S BARTRAM Office Manager 740-397-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: OH 35046411) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2012-10-10 |