4d Optometry, Llc

NPI 1215376967 - Optometrist - 152WV0400X

NPI Details
NPI 1215376967
Enumeration Date 06/17/2013
Last Updated 06/17/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JUANITA D JUANITA
Position OPTOMETRIST
Phone (860) 632-8423
Fax
Practice Location
181 SHUNPIKE RD
CROMWELL CT, 06416-1143, US
Phone (860) 632-8423
Fax
Business Location
181 SHUNPIKE RD
CROMWELL CT, 06416-1143, US
Phone (860) 632-8423
Fax
Toxanomy
Taxonomy Code 152WV0400X
License State Connecticut
License Number 2779
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According to our database, 4d Optometry, Llc NPI is 1215376967, taxonomy code is 152WV0400X and license number is 2779, license state is located at Connecticut. 4d Optometry, Llc physically located at 181 Shunpike Rd, Cromwell CT, 06416-1143. NPI Number 1033115704 has the healthcare provider type.

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1215376967 NPI number is provided on an as is basis without warranty of any kind. 1215376967 is maintained by the National Plan & Provider Enumeration System. The contents of 4d Optometry, Llc are for informational purposes only.