| NPI | 1235493396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA D BRUTHER Coowner 410-841-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MD 02526333) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |