NPI | 1528246568 |
---|---|
Entity Type | Organization |
Authorized Contact | JACK N HERRLE Owner Optometrist 203-237-8988 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 000573) |
Enumeration Date | 2008-02-01 |
Last Update Date | 2008-02-01 |