| NPI | 1710290580 |
|---|---|
| Former Legal Business Name | PRO EYE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KEITH E WATON President 860-872-3348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 2807) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |