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Organization

BLONDIN SHEA EYE CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSE BLONDIN (OFFICE MANAGER)
(860) 489-2781
Entity
Organization

Contact information

Practice address
379 PROSPECT ST, TORRINGTON, CT 06790-5238
(860) 489-2781
Mailing address
PO BOX 448, TORRINGTON, CT 06790-0448
(860) 489-2781

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1386611762
CT
05
1447670401
CT
05
1750880209
CT
05
1831647247
CT
Enumeration date
12/26/2018
Last updated
12/26/2018
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