| NPI | 1972634863 |
|---|---|
| Other Name | OPTICAL SHOP MASON |
| Entity Type | Organization |
| Authorized Contact | MATTHEW WALSH COO 513-221-5274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2011-01-12 |