Organization
PROFESSIONAL OPTICIAN MANAGEMENT SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D FOREMAN LO LICENSED OPTICIAN (PRESIDENT)
(860) 442-6868
Entity
Organization
Contact information
Practice address
741 BROAD STREET EXTENSION, WATERFORD, CT 06385
(860) 442-6868
(860) 437-8222
Mailing address
741 BROAD STREET EXT, WATERFORD, CT 06385
(860) 442-6868
(860) 437-8222
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
L0679
CT
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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