| NPI | 1558473181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL R. MITCHELL President 860-409-0449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-01-17 |