| NPI | 1164622478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BEDINI Insurance Coordinator 203-924-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2023-05-30 |