| NPI | 1245667054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN BERARDI Owner 304-983-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WV 1004-0706) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |