Individual
MR. KURT JOSEPH TICHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7365 MAIN ST, STRATFORD, CT 06614-1300
(203) 377-3937
(888) 741-0620
Mailing address
7365 MAIN ST, STRATFORD, CT 06614-1300
(203) 377-3937
(888) 741-0620
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02337
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004147270
—
CT
Enumeration date
05/28/2006
Last updated
07/16/2013
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