NPI | 1235550047 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN WESTRUP President/Optometrist 203-644-4352 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CT 002050) |
Enumeration Date | 2013-12-20 |
Last Update Date | 2014-10-23 |