| NPI | 1881855211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DIANE BOSAK Preseident 724-444-1149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PA OEG000498) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2010-05-26 |