| NPI | 1407490055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY Y. CHA Owner/Member 860-916-4753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2023-06-29 |