Individual
STACY BYRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
155 ORANGE AVE, MILFORD, CT 06461-2131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002838
CT
Other
Enumeration date
07/05/2011
Last updated
09/29/2011
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