| NPI | 1407045123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEL A. DESROCHES Registered O PT Ician 401-769-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2022-07-21 |