| NPI | 1083020689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIOBHAN BURNS Owner/Licensed Optician 860-501-0611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CT 001744) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |