| NPI | 1205128139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A HOFFMAN Owner 740-450-2733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 152W00000x) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH 152W00000x) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |