| NPI | 1225227689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN REHAK Owner 610-948-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA 5994900001) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2008-06-16 |