NPI | 1760571558 |
---|---|
Entity Type | Organization |
Authorized Contact | HAROLD L DAVEY President 860-643-1191 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: CT 1230) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2008-04-17 |