| NPI | 1568640647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE ANDERSON Contact Person 304-927-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WV 680-D) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |