Organization
PROGRESSIVE EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM E KIMBALL OD (OWNER)
(203) 267-2020
Entity
Organization
Contact information
Practice address
1449 OLD WATERBURY RD, SUITE 304, SOUTHBURY, CT 06488-3926
(203) 267-2020
(203) 267-2021
Mailing address
1449 OLD WATERBURY RD, SUITE 304, SOUTHBURY, CT 06488-3926
(203) 267-2020
(203) 267-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004180684
—
CT
Enumeration date
12/06/2006
Last updated
11/21/2019
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