| NPI | 1730564881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DUBIEL O PT Ician/President 860-289-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: CT 431) |
| 332H00000X Eyewear Supplier (Licence: CT 1045) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |