| NPI | 1326568502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BURKE CRANMER Owner 860-373-4148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2020-09-10 |