NPI | 1639201452 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN P. ACKLEY President And Licensed Optician 203-372-4569 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2007-03-09 |
Last Update Date | 2013-07-23 |