NPI | 1720145766 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID D REED O PT Ical Director 443-643-4505 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MD TA1239) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2009-03-19 |