| NPI | 1457780538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL DULINA Credentialing COO Rdinator 203-573-4803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: CT 001682) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2017-05-24 |