| NPI | 1730788688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JASON FOLMAN Owner, O PT Ometrist 203-866-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management |
| 152WP0200X Optometrist Pediatrics | |
| 156FX1800X Technician/Technologist Optician | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |