Organization
JACOB GALPER
Active
Other names
Eyeglass Place Of Newington
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB GALPER L.O. (OWNER)
(860) 667-0921
Entity
Organization
Contact information
Practice address
2311 BERLIN TPKE, NEWINGTON, CT 06111-3206
(860) 667-0921
(860) 665-7550
Mailing address
2311 BERLIN TPKE, NEWINGTON, CT 06111-3206
(860) 667-0921
(860) 665-7550
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
001119
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004036984
—
CT
01
—
112340
EYEMED VISION CARE
CT
01
—
200001119CT01
ANTHEM
CT
Enumeration date
09/16/2006
Last updated
06/17/2008
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