| NPI | 1821267170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CHALFANT Owner 765-288-1575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-03-10 |