| NPI | 1275761918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN WILLIAM GROVER O PT Ician/Owner 203-378-2281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: CT 001123) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |