| NPI | 1700105145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CHARLES MARCIANO Vice President 203-758-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT CT2543) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT CT784) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |