Organization
STE. MARIE OPTICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DUBIEL (OPTICIAN/PRESIDENT)
(860) 289-5555
Entity
Organization
Contact information
Practice address
386 BURNSIDE AVE, EAST HARTFORD, CT 06108
(860) 289-5555
(860) 528-6402
Mailing address
386 BURNSIDE AVE, EAST HARTFORD, CT 06108
(860) 289-5555
(860) 528-6402
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
1045
CT
332H00000X
Eyewear Supplier
431
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004036562
—
CT
Enumeration date
07/29/2015
Last updated
07/29/2015
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