Organization
THE EYEGLASS LASS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIOBHAN BURNS (OWNER/LICENSED OPTICIAN)
(860) 501-0611
Entity
Organization
Contact information
Practice address
277 STATE ST, NEW LONDON, CT 06320-6312
(860) 574-9196
Mailing address
277 STATE ST, NEW LONDON, CT 06320-6312
(860) 574-9196
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
001744
CT
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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