| NPI | 1285760926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG DONOHO Optical Manager 502-245-9568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: KY 25403) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2019-01-24 |