| NPI | 1902998099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOHN AGNONE Owner/Member 810-694-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2022-02-25 |