| NPI | 1710078225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP BRADFORD BRONDSTATER President 304-263-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: WV 682323437) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |