| NPI | 1003120460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WESTRUP President 203-644-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 002050) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV004169-1) |
| 152W00000X Optometrist (Licence: NJ 27OA00423800) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-28 |