| NPI | 1487621819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ANTON GAUDIO Managing Partner 860-549-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 041429) |
| Additional Taxonomies | 207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease (Licence: CT 041429) |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 152W00000X Optometrist (Licence: CT 002692) | |
| 207W00000X Ophthalmology (Licence: CT 011792) | |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: CT 011792) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2022-07-21 |