| NPI | 1326225525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI M CABRERA Practice Manager 860-872-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CT 001588) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2010-02-15 |