| NPI | 1629547757 |
|---|---|
| Former Legal Business Name | EYE PHYSICIANS & SURGEONS, PC |
| Entity Type | Organization |
| Authorized Contact | KERRI KYLE Credentialing Coordinator 203-878-1236 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |