Organization
PTC OPTICAL INC.
Active
Other names
PEARLE VISION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THADDEUS BOJAR JR. L.O. (LICENSED OPTICIAN & PRESIDENT)
(203) 877-6593
Entity
Organization
Contact information
Practice address
1330 BOSTON POST RD, MILFORD, CT 06460-2711
(203) 877-6593
(203) 877-9139
Mailing address
1330 BOSTON POST RD, MILFORD, CT 06460-2711
(203) 877-6593
(203) 877-9139
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
000703
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50PTCOPTICT01
ANTHEM BCBS OF CT ID#
CT
Enumeration date
03/30/2007
Last updated
08/22/2020
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