| NPI | 1871690131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONAT E JUTRAS Owner 860-589-6475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CT 001204) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-02-08 |