Organization
PRIVATE EYE VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT WAYAWOTZKI O.D. (OWNER)
(860) 354-5537
Entity
Organization
Contact information
Practice address
174 DANBURY RD, NEW MILFORD, CT 06776-4328
(860) 354-5537
(860) 350-9340
Mailing address
174 DANBURY RD, NEW MILFORD, CT 06776-4328
(860) 354-5537
(860) 350-9340
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0938
CT
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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