| NPI | 1528588001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDAN BOHL Owner 603-213-3896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NH 2143) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NH 2143) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-07-21 |