| NPI | 1801077847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN JOHN ROTH Owner 814-834-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA OEG000620) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-20 |