| NPI | 1801144456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GINA RATCHFORD Member 860-829-8939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CT 001722) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |