| NPI | 1164131447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GLISKER President 772-562-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2025-10-05 |