| NPI | 1538292891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY MUNN COO 440-632-1695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: OH 3884-SC) |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2024-04-17 |