| NPI | 1659557189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY G THACKER Secretary 814-724-7630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA OEG000519) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |