| NPI | 1114438652 |
|---|---|
| Doing Business As | EYE SURGERY ASSOCIATES OPTICAL , LLC |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY CORBO Administrator 203-375-5819 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 156FC0800X Technician/Technologist, Contact Lens |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |