| NPI | 1851492763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JAMES PETRYKOWSKI Owner 740-344-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH 4222) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2009-10-31 |