NPI | 1245529973 |
---|---|
Doing Business As | WINDHAM EYE GROUP OPTICAL SHOP |
Entity Type | Organization |
Authorized Contact | DANA P WOODS President 860-423-1619 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CT 001663) |
Enumeration Date | 2011-04-04 |
Last Update Date | 2011-04-04 |