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Organization

PRO EYE INC

Active
Other names
Pro Eye Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH E WATON O.D. (PRESIDENT)
(860) 872-3348
Entity
Organization

Contact information

Practice address
219 TALCOTTVILLE RD, SUITE #3, VERNON, CT 06066-4637
(860) 872-3348
(860) 872-3643
Mailing address
219 TALCOTTVILLE RD, SUITE #3, VERNON, CT 06066-4637
(860) 872-3348
(860) 872-3643

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2807
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00438912
CT
Enumeration date
07/21/2010
Last updated
07/21/2010
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