| NPI | 1790739233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA DAGNEY Practice Manager 860-659-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 0969) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 2023) |
| 152W00000X Optometrist (Licence: CT 969) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2014-05-13 |