| NPI | 1881782704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ALFRED FORNI Optician 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 | 2006-10-10 |
| Last Update Date | 2007-12-28 |