NPI | 1114195625 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNNE M. PORRECA Owner 856-825-1011 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NJ OA004381) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2008-02-19 |