NPI | 1750507380 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER J. FEDORA President 860-646-3577 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: CT 001359) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2021-02-18 |