| NPI | 1346686482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFUA WIREKOA ANTWI AO 860-206-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care (Licence: CT 002871) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2025-03-28 |