| NPI | 1629240858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNTH R GIFT Owner 570-374-0154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA G000099) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2013-02-13 |