Mary W. Fedus, O.D. Valid NPI

Individual provider · Optometrist · New Britain, CT

NPI

1295869832

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

00#1003 (CT)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-03-15

Last updated

2014-03-19