Organization Name: | ROBERT KISH OPTICS UNLIMITED LLC |
NPI Number: | 1023449683 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT JOHN KISH (MANAGER) |
Mailing Address: | 748 Long Hill Rd Groton |
State: | CT US |
Postal Code: | 063404273 |
Phone Number: | 8604483937 |
Fax Number: | 8604490343 |
NPI Enumeration Date: | 12/09/2013 |
NPI Last Update Date: | 12/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 001684 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |