| NPI | 1699063149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BURDEAUX Administrator 302-677-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |