| NPI | 1679656748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MERLE MILLER Owner 740-687-5865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH 3482/T568) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-12-13 |