| 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 |