Organization
OPTICS AND FASHION BY KV, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIVIAN NOIR L.O. (CO-OWNER)
(860) 890-9960
Entity
Organization
Contact information
Practice address
70 GREEN STREET, HARTFORD, CT 06120-2235
(860) 890-9960
(860) 969-4966
Mailing address
PO BOX 1168, HARTFORD, CT 06143-1168
(866) 717-1370
(860) 969-4966
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
—
—
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008083621
—
CT
Enumeration date
03/13/2019
Last updated
03/13/2019
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