| Doctor Name: | MR. LOUIS JOHN MARINO |
| NPI Number: | 1023134665 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OCULARIST OCULAR PRO |
| License Number: | 0315275000 |
| Business Practice Address: | 204 N Colony St Wallingford, CT - 064923656 |
| Business Phone Number: | 2032843737 |
| Business Fax Number: | 2032841300 |
| Mailing Address: | 204 N Colony St, WALLINGFORD |
| State: | CT |
| Postal Code: | 064923656 |
| Phone Number: | 2032843737 |
| Fax Number: | 2032841300 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1700X |
| License Number: | 0315275000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Ocularist |
| Taxonomy Definition: | |