| NPI | 1881840221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON RICHARD PAULINE President/Optician 502-895-8135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 388) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |