Organization
NORTHEAST EYEWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DEAN MD (OWNER)
(860) 928-0414
Entity
Organization
Contact information
Practice address
5 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 928-0414
Mailing address
5 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 928-0414
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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