Individual
DR. NICHOLAS E. WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
715 MIDDLETOWN RD, COLCHESTER, CT 06415-2236
(860) 531-3852
(860) 468-4235
Mailing address
715 MIDDLETOWN RD, COLCHESTER, CT 06415-2236
(860) 531-3852
(860) 468-4235
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002700
CT
Other
Enumeration date
11/13/2006
Last updated
05/21/2021
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