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Organization

CRYSTAL VISION WEST HARTFORD LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN MANN O.D (OWNER)
(860) 442-0380
Entity
Organization

Contact information

Practice address
64 RAYMOND RD, SUITE170, WEST HARTFORD, CT 06107-2213
(860) 442-0380
Mailing address
909 HARTFORD TPKE, UNIT D2, WATERFORD, CT 06385-4267
(860) 442-0380
(860) 437-1717

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002229
CT

Other

Enumeration date
09/29/2014
Last updated
09/29/2014
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