Organization
MOZDEN FAMILY OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MOZDEN (OWNER/ L.O.)
(860) 889-9887
Entity
Organization
Contact information
Practice address
11 N 2ND AVE, TAFTVILLE, CT 06380-1407
(860) 889-9887
Mailing address
11 N 2ND AVE, TAFTVILLE, CT 06380-1407
(860) 889-9887
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
001598
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MCD 008025398
—
CT
Enumeration date
02/08/2010
Last updated
02/27/2013
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