Organization
FURZE & ACKLEY OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN P. ACKLEY SR. LO (PRESIDENT AND LICENSED OPTICIAN)
(203) 372-4569
Entity
Organization
Contact information
Practice address
4270 MAIN ST, BRIDGEPORT, CT 06606-2306
(203) 372-4569
(203) 372-6550
Mailing address
4270 MAIN ST, BRIDGEPORT, CT 06606-2306
(203) 372-4569
(203) 372-6550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
CT
156FX1800X
Optician
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004133625
—
CT
Enumeration date
03/09/2007
Last updated
07/23/2013
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