| NPI | 1770767618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE A. COBURN Vice President/Optician 302-994-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: DE 065493641) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2008-03-04 |