| NPI | 1275025207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM V PADULA Owner 203-453-0617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WS0006X Optometrist, Sports Vision (Licence: CT 000858) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |