| NPI | 1669924254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONICHA AZARD LIN Doctor Of Optometry 860-688-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 2984) |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2021-05-25 |