| Organization Name: | 4D OPTOMETRY, LLC |
| NPI Number: | 1215376967 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUANITA D COLLIER (OPTOMETRIST) |
| Mailing Address: | 181 Shunpike Rd Cromwell |
| State: | CT US |
| Postal Code: | 064161143 |
| Phone Number: | 8606328423 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2013 |
| NPI Last Update Date: | 06/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WV0400X |
| License Number: | 2779 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Vision Therapy |
| Taxonomy Definition: | Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |