| NPI | 1811211279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN ARNOLD SODERGREN Optometrist/Owner 860-456-7426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 000714) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |