| NPI | 1730143488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON J BALTER President 215-579-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-08-22 |