| NPI | 1285889329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI HARVILL Administrator 410-749-1191 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2023-11-06 |