| NPI | 1407173255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW COY BARNES Owner 513-794-0203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH sc6813) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH sc6813) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |