Organization · NPI-2

4d Optometry, LLC

Optometrist, Vision Therapy · Cromwell, CT

NPI number1215376967
StatusActive
Last updated in NPPESJun 17, 2013

Details

NPI
1215376967
Entity type
Organization (NPI-2)
Legal business name
4d Optometry, LLC
Organization subpart
No
Enumeration date
Jun 17, 2013
Last updated
Jun 17, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152WV0400X Optometrist, Vision Therapy2779CTYes

Other names

  • 4d Vision Gym (Doing Business As)

Practice location

181 Shunpike Rd
Cromwell, CT 06416-1143

Phone 860-632-8423

Mailing address

181 Shunpike Rd
Cromwell, CT 06416-1143

Phone 860-632-8423

Authorized official

Juanita D Collier
Optometrist
8606328243

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