| NPI | 1801986765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ASHLAND BURDETTE President 304-344-2366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OH S-1998) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |