| NPI | 1194909903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY A COVER Medical Biller 412-672-9765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA MD015109E) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2012-10-26 |