| NPI | 1285383737 |
|---|---|
| Former Legal Business Name | DEVINA PATEL, O.D., LLC |
| Entity Type | Organization |
| Authorized Contact | DEVINA PATEL Owner, Managing Member 860-474-4046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-11-07 |