| NPI | 1790961217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATRICK WALKER Owner 814-724-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: PA OEG000830) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-16 |