| NPI | 1972938090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON HENDERSON Owner/ O PT Ometrist 860-314-2947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 2456) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |