Eyedocare,corp

NPI #1194124453 in Farmington, Connecticut

Provider Information

NPI Number: 1194124453
Entity Type: Organization
Organization Name: Eyedocare,corp
Primary Specialty: Optometrist
Enumeration Date: Aug 22, 2014
Last Updated: Feb 25, 2015

Practice Location

Address: 500 WESTFARMS MALL
City: Farmington
State: Connecticut
ZIP Code: 06032-2615
Phone: (860) 674-6053

Authorized Official

Name: DR. GUILLERMO GALLARDO, MD
Title: OWNER
Phone: (516) 547-6522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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