| NPI | 1154610251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK L HEPNER Owner 570-286-2541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA OE007711-P) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2014-12-11 |