| NPI | 1659543882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MARSHALL FOOTE Owner/President 508-586-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MA 1615) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-09-24 |