| NPI | 1487683470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DAVID STURGIS Owner/President 860-646-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| 152WP0200X Optometrist, Pediatrics | |
| 152WX0102X Optometrist, Occupational Vision | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2008-03-13 |