Organization
PROFESSIONAL OPTICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D FOREMAN LO LICENSED OPTICIAN (PRESIDENT)
(860) 442-1167
Entity
Organization
Contact information
Practice address
125 BOSTON POST ROAD, WATERFORD, CT 06385
(860) 442-1167
(860) 443-4118
Mailing address
125 BOSTON POST ROAD, WATERFORD, CT 06385
(860) 442-1167
(860) 443-4118
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
L0679
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100000679CT01
BLUE CROSS
—
Enumeration date
12/06/2006
Last updated
04/01/2008
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