| NPI | 1669661690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE SUE KECK Owner 606-248-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: KY 0478) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2015-09-02 |