NPI | 1841431970 |
---|---|
Other Name | NA |
Entity Type | Organization |
Authorized Contact | RAYMOND JOSEPH MISKE O PT Ican 570-622-0226 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: PA 6000000546) |
Enumeration Date | 2009-03-19 |
Last Update Date | 2009-07-30 |