| NPI | 1851556625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD BROWN Owner 419-756-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH 2934) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |