| NPI | 1376624353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN R SHAPIRO Physician / President 203-878-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-06-23 |