NPI | 1407145089 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY L VARNER Owner 215-699-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA PA-06648-T) |
Enumeration Date | 2011-04-04 |
Last Update Date | 2011-04-12 |