Individual
DR. MARK DAVID STURGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
29 BUCKLAND ST, MANCHESTER, CT 06042-1601
(860) 646-6655
(860) 647-7872
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2010
CT
152WC0802X
Corneal and Contact Management Optometrist
2010
CT
152WP0200X
Pediatric Optometrist
2010
CT
152WX0102X
Occupational Vision Optometrist
2010
CT
Other
Enumeration date
06/20/2006
Last updated
12/29/2020
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