| NPI | 1386825644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE ALAN MUNDIS Owner 717-235-1346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA 5274-P) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |