NPI | 1730564881 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT DUBIEL Optician/President 860-289-5555 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CT 431) |
332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CT 1045) | |
Enumeration Date | 2015-07-29 |
Last Update Date | 2015-07-29 |