NPI | 1609033026 |
---|---|
Entity Type | Organization |
Authorized Contact | BRUCE W PIERSON Owner 814-849-4602 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA OEG000043) |
Enumeration Date | 2008-05-22 |
Last Update Date | 2008-05-22 |