NORWICH OPHTHALMOLOGY OPTICAL NPI 1326280512

NPI Information

NORWICH OPHTHALMOLOGY OPTICAL is an eyewear supplier in Niantic, CT. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. NORWICH OPHTHALMOLOGY OPTICAL NPI is 1326280512. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eye Q Optical.

The provider's business location address is:

179 FLANDERS RD
NIANTIC, CT
ZIP 06357-203
Phone: (860) 447-8664
Fax: (860) 443-2986

The provider's authorized official is Jeffrey A. Hertz .
The authorized official title is President and has the following contact phone number (860) 886-0161.

The CLIA number assigned to this NPI record is 07D2066099 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2009 and was last updated on 2/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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