Organization
PARKLANE OPTICIANS OF FAIRFIELD,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERI LOGUN (VICE PRESIDENT)
(203) 259-2268
Entity
Organization
Contact information
Practice address
1430 POST ROAD, FAIRFIELD, CT 06824
(203) 259-2268
Mailing address
1430 POST ROAD, FAIRFIELD, CT 06824
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001234
CT
Other
Enumeration date
08/29/2006
Last updated
12/18/2007
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