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