| NPI | 1275657728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY WOOD Billing Manager 937-320-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2009-06-25 |