| NPI | 1962631366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A. HERTZ President 860-886-0161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: CT 001624) |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician (Licence: CT 000433) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2011-05-18 |