Organization
WALLINGFORD OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J COMEAU L.O. (OWNER)
(203) 265-1541
Entity
Organization
Contact information
Practice address
58 CENTER ST, WALLINGFORD, CT 06492-4112
(203) 265-1541
Mailing address
58 CENTER ST, WALLINGFORD, CT 06492-4112
(203) 265-1541
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1294
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100001294CT02
BC
CT
01
—
51051
DAVIS VISION
CT
01
—
CT1294
EYEMED
CT
Enumeration date
01/19/2007
Last updated
08/22/2020
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