Organization · NPI-2

Family Eyecare And Contact Lens Center LLC

Optometrist · Cromwell, CT

NPI number1801081104
StatusActive
Last updated in NPPESSep 22, 2010

Details

NPI
1801081104
Entity type
Organization (NPI-2)
Legal business name
Family Eyecare And Contact Lens Center LLC
Organization subpart
No
Enumeration date
Sep 10, 2007
Last updated
Sep 22, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristCT939CTYes

Practice location

160 West St
Cromwell, CT 06416

Phone 860-635-6149 · Fax 860-632-1401

Mailing address

160 West Street
Cromwell, CT 06416

Phone 860-635-6149 · Fax 860-632-1401

Authorized official

Mark R Chasse
Member Owner
8606356149

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