Organization
ROBERT JOHN KISH OPTICS UNLIMITED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOHN KISH O.D. (MANAGER)
(860) 448-3937
Entity
Organization
Contact information
Practice address
748 LONG HILL RD, GROTON, CT 06340-4273
(860) 448-3937
(860) 449-0343
Mailing address
748 LONG HILL RD, GROTON, CT 06340-4273
(860) 448-3937
(860) 449-0343
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
001684
CT
Other
Enumeration date
12/09/2013
Last updated
08/10/2016
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