NPI | 1558583781 |
---|---|
Doing Business As | GLASTONBURY OPTICIANS |
Entity Type | Organization |
Authorized Contact | KENNETH EDWARD PLOURD Owner 860-633-7889 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: CT 001489) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2008-06-17 |