| NPI | 1124239124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY M BRACALE Admininstrator 717-272-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: PA OEG000036) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2021-03-19 |