| NPI | 1285970186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA C BLOM President/Owner 304-522-8311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |