| NPI | 1831647247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BLONDIN Owner 860-489-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 000845) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2018-04-10 |