| NPI | 1427226281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL KOONS Bookkeeper 570-346-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA 156FX1800X) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-26 |