| NPI | 1538752514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR SHAKIR President 203-900-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 261QS0132X Clinic/Center, Ophthalmologic Surgery | |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-23 |