| NPI | 1659467454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D. STURGIS Owner 860-646-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 2010) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: CT 2010) |
| 152WP0200X Optometrist Pediatrics (Licence: CT 2010) | |
| 152WX0102X Optometrist Occupational Vision (Licence: CT 2010) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |