Organization
SEYMOUR VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA SEYMOUR O.D. (OPTOMETRIST)
(707) 318-3451
Entity
Organization
Contact information
Practice address
343 BEACH ST APT 506, WEST HAVEN, CT 06516-6172
(707) 318-3451
Mailing address
343 BEACH ST APT 506, WEST HAVEN, CT 06516-6172
(707) 318-3451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2949
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008060451
—
CT
Enumeration date
10/17/2017
Last updated
11/12/2019
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