| NPI | 1144613852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY A BARCELOW President 802-234-9728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: VT 030.0000196) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |