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Organization

KENSINGTON OPTICIANS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER GORDON WICKE L.O. (MANAGER)
(860) 828-6684
Entity
Organization

Contact information

Practice address
7 WEBSTER SQUARE RD, BERLIN, CT 06037-2326
(860) 828-6684
(860) 828-1467
Mailing address
7 WEBSTER SQUARE RD, BERLIN, CT 06037-2326
(860) 828-6684
(860) 828-1467

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1027
CT

Other

Enumeration date
09/28/2006
Last updated
04/09/2008
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