| NPI | 1104083674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BETHEA EDOUARD President 718-636-4316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |