Organization
CONRAD W. KASACK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICK CHARLES VOLPE III (PRESIDENT OPTICIAN)
(203) 743-3826
Entity
Organization
Contact information
Practice address
16 WEST ST, DANBURY, CT 06810-7841
(203) 743-3826
Mailing address
16 WEST ST, DANBURY, CT 06810-7841
(203) 743-3826
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
001268
CT
332H00000X
Eyewear Supplier
Primary
001268
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004049086
—
CT
Enumeration date
01/11/2007
Last updated
03/20/2015
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