Organization
NORWICH OPHTHALMOLOGY OPTICAL
Active
Other names
Eye Q Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E OAKLEY MD (SEC)
(860) 886-0161
Entity
Organization
Contact information
Practice address
79 WAWECUS STREET, SUITE 105, NORWICH, CT 06360
(860) 886-0161
Mailing address
79 WAWECUS STREET, SUITE 105, NORWICH, CT 06360
(860) 886-0161
(860) 889-5999
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008002781
—
CT
01
—
100000433CT03
BCS
CT
01
—
P2130727
OXFORD
CT
Enumeration date
07/08/2006
Last updated
02/12/2015
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