NPI | 1114355377 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA L BRANDIS Billing Manager 410-942-9476 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MD TA1239) |
Enumeration Date | 2013-10-28 |
Last Update Date | 2013-11-07 |