| NPI | 1912152158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD D WERSTLER Owner 330-494-0924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH 3506) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2009-05-12 |