| NPI | 1760161293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON BALTER President 215-688-0622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |