| NPI | 1427256593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH E PAVANO, III Optometrist/Owner 860-223-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 002149CT) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |