| NPI | 1144369588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH PULASKI Optometrist 203-754-8339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 000910) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: CT 000910) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-03-26 |