| NPI | 1669637179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHEA LEIGH PRUITT Office Manager 304-725-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-08-14 |