Westvillage Optician
Technician/Technologist, Optician in New Haven, CT. Organization (NPI-2).
NPI number1619198181
StatusActive
Last updated in NPPESJan 12, 2010
Details
- NPI
- 1619198181
- Entity type
- Organization (NPI-2)
- Legal business name
- Westvillage Optician
- Organization subpart
- No
- Enumeration date
- May 1, 2007
- Last updated
- Jan 12, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | L106 | CT | Yes |
Practice location
904 Whalley AveNew Haven, CT 06515-1700
Phone 203-397-1928
Mailing address
904 Whalley AveNew Haven, CT 06515-1700
Authorized official
Paula Lupi
Owner
2033971928
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