| 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 |