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Individual

DR. RYAN MICHAEL TRIMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
9 SCHOOL ST # B1, UNIONVILLE, CT 06085-1018
(860) 255-7691
(860) 321-7380
Mailing address
9 SCHOOL ST # B1, UNIONVILLE, CT 06085-1018
(860) 255-7691
(860) 321-7380

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002674
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004251899
CT
01
38387
CT CONTROLLED SUBSTANCE
CT
01
D400006963
MEDICARE ID
CT
Enumeration date
12/19/2005
Last updated
03/07/2023
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