| NPI | 1891919338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA B SIVO Office Manager 860-528-5816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CT 2166) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-09-23 |