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Organization

MARSHALL OPTICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CLIFFORD WILLIAM MARSHALL LO LICENSED OPTICIAN (OWNER)
(860) 489-8999
Entity
Organization

Contact information

Practice address
881 NEW HARWINTON ROAD, TORRINGTON, CT 06790-7208
(860) 489-8999
(860) 626-8117
Mailing address
881 NEW HARWINTON ROAD, TORRINGTON, CT 06790-7208
(860) 489-8999
(860) 626-8117

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
00626
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100000626CT01
BLUE CROSS
CT
01
117159
EYEMED
Enumeration date
03/13/2008
Last updated
03/13/2008
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