| NPI | 1497904759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA DEGRAZIA Office Manager 215-564-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |