| NPI | 1750369120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN W MANN President 301-598-4614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2008-02-29 |