| NPI | 1790923605 |
|---|---|
| Former Legal Business Name | PROVIDENCE OPTICIANS INC |
| Entity Type | Organization |
| Authorized Contact | KYLE E. WINSLOW President 202-462-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2013-01-24 |