| NPI | 1386747962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY C RIBEIRO Optician 203-574-3095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: CT 001240) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |