NPI | 1053511147 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY CHANDLER BIRAJICLIAN President 802-774-5124 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: VT 028-0000350) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2013-01-02 |