Organization
VISION CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON R MCLEAN O.D. (OWNER)
(203) 929-4030
Entity
Organization
Contact information
Practice address
880 BRIDGEPORT AVE, SHELTON, CT 06484-4625
(203) 929-4030
Mailing address
880 BRIDGEPORT AVE, SHELTON, CT 06484-4625
(203) 929-4030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
904
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004180676
—
CT
Enumeration date
02/07/2007
Last updated
10/24/2016
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