| NPI | 1588938930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANNE KATILUS Credentialing Specialist 646-448-3323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-05 |