| NPI | 1902026370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE M CRAVEDI Billing Manager 203-573-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0109X Ophthalmology, Neuro-ophthalmology |
| 207WX0009X Ophthalmology, Glaucoma Specialist | |
| 207WX0107X Ophthalmology, Retina Specialist | |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist | |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CT 000775) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2022-05-11 |