| NPI | 1447553482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN C DANBERG Owner 860-657-9189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 1078) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: CT 1078) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |