Organization Name: | LOUIS J CASSANI |
NPI Number: | 1225188063 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOUIS JOSEPH CASSANI (OWNER) |
Mailing Address: | 341 North Main Street Barre |
State: | VT US |
Postal Code: | 056414106 |
Phone Number: | 8024767932 |
Fax Number: | 8024795523 |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 06/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 0280000071 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |