Crystal Vision West Hartford Llc.

NPI 1174926653 - Optometrist - 152W00000X

NPI Details
NPI 1174926653
Enumeration Date 09/29/2014
Last Updated 09/29/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BRIAN BRIAN
Position OWNER
Phone (860) 442-0380
Fax
Practice Location
64 RAYMOND RD
SUITE170
WEST HARTFORD CT, 06107-2213, US
Phone (860) 442-0380
Fax
Business Location
909 HARTFORD TPKE
UNIT D2
WATERFORD CT, 06385-4267, US
Phone (860) 442-0380
Fax (860) 437-1717
Toxanomy
Taxonomy Code 152W00000X
License State Connecticut
License Number 002229
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According to our database, Crystal Vision West Hartford Llc. NPI is 1174926653, taxonomy code is 152W00000X and license number is 002229, license state is located at Connecticut. Crystal Vision West Hartford Llc. physically located at 64 Raymond Rd, West Hartford CT, 06107-2213. NPI Number 1033115704 has the healthcare provider type.

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1174926653 NPI number is provided on an as is basis without warranty of any kind. 1174926653 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Vision West Hartford Llc. are for informational purposes only.