| |
314 Main St, Yalesville, CT 06492-2265 | |
(203) 269-3000 | |
(203) 288-5679 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 314 Main St, Yalesville, Connecticut |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790813020 | NPI | - | NPPES |
6771 | Other | DAVIS ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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314 Main St, Yalesville, CT 06492-2265 Ph: (203) 269-3000 | 314 Main St, Yalesville, CT 06492-2265 Ph: (203) 269-3000 |