Tracey Lynn Asmus OD

NPI 1053341701 - Optometrist - 152W00000X

NPI Details
NPI 1053341701
Gender Female
Enumeration Date 07/04/2006
Last Updated 08/20/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
2691 BERLIN TPKE
NEWINGTON CT, 06111-4114, US
Phone (860) 594-4585
Fax (860) 667-4377
Business Location
27 FOXTAIL RD
MIDDLETOWN CT, 06457-1770, US
Phone (860) 632-8735
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Connecticut
License Number 002561
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According to our database, Dr. Tracey Lynn Asmus OD NPI is 1053341701, taxonomy code is 152W00000X and license number is 002561, license state is located at Connecticut. Tracey Lynn Asmus OD physically located at 2691 Berlin Tpke, Newington CT, 06111-4114. NPI Number Tracey Lynn Asmus OD has the Individual type.

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1053341701 NPI number is provided on an as is basis without warranty of any kind. 1053341701 is maintained by the National Plan & Provider Enumeration System. The contents of Tracey Lynn Asmus OD are for informational purposes only.