NPI | 1295939155 |
---|---|
Doing Business As | PROFESSIONAL VISION CENTER |
Entity Type | Organization |
Authorized Contact | ARMANDO RAFAEL Optometrist 203-235-2015 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CT 1012) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2015-03-24 |