NPI | 1326223157 |
---|---|
Doing Business As | MARANATHA OPTICAL |
Entity Type | Organization |
Authorized Contact | CYNTHIA A DECKER Clerical 814-834-1308 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-12-28 |
Last Update Date | 2008-04-07 |