| NPI | 1720608573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK KEITH KELLY Owner 410-446-4386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |