| NPI | 1467614347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN SANDERSON Owner 860-223-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: CT 001298) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CT 001298) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2015-03-12 |