| NPI | 1316241466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT EDWARD GERMAIN Pres 203-755-4941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 896) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CT 896) |
| 152WP0200X Optometrist, Pediatrics (Licence: CT 896) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |