| NPI | 1952141681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM CORCORAN Office Administrator 302-652-3353 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |