| NPI | 1427452473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS E. WISNIEWSKI Manager/Owner 860-237-4707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 002700) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2021-05-21 |