Organization
EXCEL-LENTES, LLC
Active
Other names
Rivard Opticians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENDAN WALSH (LICENSED OPTICIAN, OWNER)
(860) 296-6826
Entity
Organization
Contact information
Practice address
323 FRANKLIN AVE, HARTFORD, CT 06114-1851
(860) 296-6826
Mailing address
323 FRANKLIN AVE, HARTFORD, CT 06114-1851
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1625
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004209369
—
CT
Enumeration date
11/23/2007
Last updated
03/05/2015
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