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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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