| NPI | 1780986364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA GIBBS Owner/O PT Ican 413-783-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: MA 5514) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2016-11-16 |