| NPI | 1831611524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E PALOZEJ Owner/O PT Ometrist 860-870-4632 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 002101) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-07-21 |