| NPI | 1649962796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALLEN Chief Operating Officer 215-440-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |