| NPI | 1124206198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET ETHEL QUINN Optician 860-482-9399 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: CT 001240) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2015-01-22 |