Individual
MR. BRENDAN ROBERT WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
323 FRANKLIN AVENUE, EXCEL-LENTES, LLC DBA RIVARD OPTICIANS, HARTFORD, CT 06114-1851
(860) 296-6826
(860) 296-6827
Mailing address
323 FRANKLIN AVENUE, EXCEL-LENTES, LLC DBA RIVARD OPTICIANS, HARTFORD, CT 06114-1851
(860) 296-6826
(860) 296-6827
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1316
CT
Other
Enumeration date
12/28/2006
Last updated
11/19/2007
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