Organization
COBBS OPTICAL SHOPPE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAYTON EVERETT COBB JR. LICENSED OPTICIAN (OWNER OPTICIAN)
(860) 599-3882
Entity
Organization
Contact information
Practice address
804 STONINGTON RD, STONINGTON, CT 06378-2510
(860) 599-3882
(860) 599-8680
Mailing address
804 STONINGTON RD, STONINGTON, CT 06378-2510
(860) 599-3882
(860) 599-8680
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100000649CT01
ANTHEM BLUE CROSS BLUE SH
CT
Enumeration date
12/13/2006
Last updated
08/22/2020
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