| NPI | 1720178577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT F DIBBLE Owner 860-423-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 030376) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 002357) |
| 152W00000X Optometrist (Licence: CT 002698) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2015-06-11 |