| NPI | 1992980478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISSA C. BROWN President/Master O PT Ician 413-323-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: MA MA4856) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Licence: MA MA4856) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |