| NPI | 1700216090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DZENANA IDRIZOVIC O PT Ometry Doctor 603-566-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4544) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |