| NPI | 1831377720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD MICHAEL NOLAN Ophthalmologist 860-674-9627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-05-20 |