| NPI | 1235284365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HAZEN Owner 302-998-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: DE 1991073141) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-02-15 |