Individual
CAITLIN ANN IMBROGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
888 WORCESTER ST, WELLESLEY, MA 02482-3717
(845) 494-6143
Mailing address
888 WORCESTER ST, WELLESLEY, MA 02482-3717
(888) 964-6681
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008115
NY
152WV0400X
Vision Therapy Optometrist
TUV008115
NY
Other
Enumeration date
06/06/2014
Last updated
04/08/2019
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