Organization
YOUR EYES OF BRISTOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONAT E JUTRAS L.O. (OWNER)
(860) 589-6475
Entity
Organization
Contact information
Practice address
927 FARMINGTON AVE, BRISTOL, CT 06010-3927
(860) 589-6475
Mailing address
927 FARMINGTON AVE, BRISTOL, CT 06010-3927
(860) 589-6475
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
001204
CT
Other
Enumeration date
09/20/2006
Last updated
02/08/2008
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