| NPI | 1720296254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A CRUTE Opitician 401-732-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: RI OP00096) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-01-31 |