| NPI | 1528153624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND AGRESTA Manager 740-283-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH SC5207) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |