| NPI | 1366671414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE CHERISCA Optician 301-498-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |