NPI | 1275761918 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN WILLIAM GROVER Optician/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 |