Individual
CRYSTAL L SEAFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
69 SAND PIT RD STE 101, DANBURY, CT 06810-4004
(203) 791-2020
(203) 778-6238
Mailing address
69 SAND PIT RD STE 101, DANBURY, CT 06810-4004
(203) 791-2020
(203) 778-6238
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002614
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004229242
—
CT
01
—
1790735447
NPI
—
Enumeration date
05/12/2006
Last updated
05/06/2021
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