| NPI | 1558715565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN TIBBETTS CEO 202-827-6883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2016-04-15 |