Organization
DR JACK HERRLE OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK N HERRLE OD (OWNER OPTOMETRIST)
(203) 237-8988
Entity
Organization
Contact information
Practice address
130 EAST MAIN ST, MERIDEN, CT 06450
(203) 237-8988
(203) 237-8980
Mailing address
130 EAST MAIN ST, MERIDEN, CT 06450
(203) 237-8988
(203) 237-8980
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000573
CT
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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