NPI | 1801983481 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH ALFRED FORNI Owner/President 413-733-0867 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MA ma1524) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MA ma1524) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2007-12-28 |