| NPI | 1124515234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK W GUARINO O PT Ometrist/Owner 603-742-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH NH0706) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |