NPI | 1154211100 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSEMARY MATOZZO Sr. Credentialing Specialist 203-465-1424 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2025-07-09 |
Last Update Date | 2025-07-09 |