| NPI | 1477678514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY S FAGELMAN President 586-286-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |