| NPI | 1114989894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE S FRAZIER Office Manager 304-343-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2021-10-19 |