Organization
FAMILY VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J GORMAN OD (PRESIDENT)
(203) 377-2020
Entity
Organization
Contact information
Practice address
775 MAIN ST, STRATFORD, CT 06615-7406
(203) 377-2020
(203) 381-9936
Mailing address
775 MAIN ST, STRATFORD, CT 06615-7406
(203) 377-2020
(203) 381-9936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000660
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004194809
—
CT
Enumeration date
09/23/2005
Last updated
04/02/2009
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