NPI | 1619026671 |
---|---|
Doing Business As | OPTICAL ILLUSIONS |
Entity Type | Organization |
Authorized Contact | KATHLEEN M SOBIERAJ Administrator 203-371-0141 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Enumeration Date | 2007-01-09 |
Last Update Date | 2008-01-31 |