| NPI | 1679666127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ALFRED FORNI Owner/President 413-733-0867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MA ma1524) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA ma1524) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-03-26 |