Dr. Nicholas E. Wisniewski, O.D.
Optometrist in Colchester, CT. Individual provider (NPI-1).
NPI number1124199864
StatusActive
Last updated in NPPESMay 21, 2021
Details
- NPI
- 1124199864
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicholas E. Wisniewski
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2006
- Certification date
- May 21, 2021
- Last updated
- May 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 002700 | CT | Yes |
Practice location
715 Middletown RdColchester, CT 06415-2236
Phone 860-531-3852 · Fax 860-468-4235
Mailing address
715 Middletown RdColchester, CT 06415-2236
Phone 860-531-3852 · Fax 860-468-4235
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