Individual
SEAN WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
775 MAIN ST, STRATFORD, CT 06615-7406
(203) 377-2020
(203) 381-9936
Mailing address
775 MAIN ST, STRATFORD, CT 06615-7406
(203) 377-2020
(203) 381-9936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002824
CT
152W00000X
Optometrist
11978T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0119780
—
CA
Enumeration date
02/20/2007
Last updated
03/07/2023
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