| NPI | 1356512719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD WILLIAM MARSHALL Owner 860-489-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: CT 00626) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |