| NPI | 1427297225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD S FULTON Owner/Provider 860-283-9857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CT 765) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2010-11-04 |