| NPI | 1245966530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY D REBELLO Licensed Optician/Owner 401-251-2309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2022-07-28 |