| NPI | 1053592790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDAN WALSH Licensed O PT Ician, Owner 860-296-6826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: CT 1625) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2015-03-05 |