| NPI | 1962820050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BOLLIN Owner 304-382-2542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: SC 15029) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |