| NPI | 1154062024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA BISCEGLIA Legal Associate 774-512-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |