| NPI | 1619136389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY C JILSON Owner 508-778-2278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MA 1204) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |