| NPI | 1053927715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA NANCY BISCEGLIA Legal Associate 508-688-2358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |