| NPI | 1841926599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FREDERICK Owner 401-584-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1700X Technician/Technologist Ocularist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |