Organization
MADISON OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK JOSEPH MORIARTY (OWNER)
(203) 245-4465
Entity
Organization
Contact information
Practice address
59 BRADLEY RD, MADISON, CT 06443-2632
(203) 245-4465
(203) 245-6996
Mailing address
59 BRADLEY RD, MADISON, CT 06443-2632
(203) 245-4465
(203) 245-6996
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
001475
CT
Other
Enumeration date
05/13/2008
Last updated
05/14/2008
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