| NPI | 1952396830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R MILLS Director 203-655-9571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: CT LO 447) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2020-08-22 |