Organization
MATTHEW BLONDIN, BLONDIN SHEA EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW BLONDIN OD, FAAO (OWNER)
(860) 489-2781
Entity
Organization
Contact information
Practice address
379 PROSPECT STREET, SUITE B, TORRINGTON, CT 06790
(860) 489-2781
(860) 489-9017
Mailing address
P.O. BOX 448, TORRINGTON, CT 06790
(860) 489-2781
(860) 489-9017
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008072189
—
CT
Enumeration date
03/29/2018
Last updated
03/29/2018
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