NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1164474821 |   |   |   | OPTICARE EYE HEALTH CENTERS, INC. | 87 GRANDVIEW AVE | WATERBURY | CT | 067082514 |
1528018157 | MULLIGAN | SHANNON | M |   | 87 GRANDVIEW AVE | WATERBURY | CT | 067082514 |