| NPI | 1487855029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J LIBASSI V.P. 401-943-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: RI 113) |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician (Licence: RI OP00054) |
| 152W00000X Optometrist | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2013-10-31 |