ANDREW DAVID STACK

NEW HAVEN, CT
NPI1306983648
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: CT  2289)
Enumeration Date2007-01-30
Last Update Date2022-03-17
Business Address
Dr. ANDREW DAVID STACK O.D.
1457 WHALLEY AVE
NEW HAVEN, CT 06515-1153
Phone number: 203-387-3937
Mailing Address
Dr. ANDREW DAVID STACK O.D.
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: