| NPI | 1710147079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DRUSILLA HASKINS GRANT Owner 330-923-9951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH 3533t464) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |