| NPI | 1841431970 |
|---|---|
| Other Name | NA |
| Entity Type | Organization |
| Authorized Contact | RAYMOND JOSEPH MISKE Optican 570-622-0226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA 6000000546) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-07-30 |