| NPI | 1699320028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MARIE NICHOLAS Managing Director 586-915-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |