NPI | 1730501651 |
---|---|
Entity Type | Organization |
Authorized Contact | FAYE ALGRANATI Member 203-249-5042 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CT 2209) |
Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: CT 2209) |
152WS0006X Optometrist Sports Vision (Licence: CT 2209) | |
Enumeration Date | 2014-01-12 |
Last Update Date | 2014-01-12 |