Organization
DR. NGUYEN ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTY NGUYEN O.D. (OPTOMETRIST)
(860) 956-1396
Entity
Organization
Contact information
Practice address
1402 BERLIN TPKE, WETHERSFIELD, CT 06109-1010
(860) 956-1396
Mailing address
1402 BERLIN TPKE, WETHERSFIELD, CT 06109-1010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2615
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730357831
—
CT
Enumeration date
02/12/2008
Last updated
04/26/2013
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