NPI | 1114195732 |
---|---|
Entity Type | Organization |
Authorized Contact | ODELL ARTTO SMITH Owner 443-797-7754 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2008-02-16 |
Last Update Date | 2008-02-16 |