| NPI | 1811978208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY C DAVIS Owner Administrator 724-547-8199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2020-08-22 |