| NPI | 1922031012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R MOULTON Owner 802-442-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: VT 0280000139) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |