Organization
SOSTILIO EYE CARE LLC
Active
Other names
Modern Focus Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS ERNEST SOSTILIO OD (OWNER)
(203) 333-5590
Entity
Organization
Contact information
Practice address
2379 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3229
(203) 333-5590
(203) 333-6722
Mailing address
2379 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3229
(203) 333-5590
(203) 333-6722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008112906
—
CT
Enumeration date
05/02/2022
Last updated
11/02/2022
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