| NPI | 1558713503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FICHMAN Owner/President 860-649-9973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |