Individual
MR. WILLIAM CLINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
29 OLD STAGECOACH RD, OLD LYME, CT 06371-1337
(860) 861-0112
Mailing address
29 OLD STAGECOACH RD, OLD LYME, CT 06371-1337
(860) 861-0112
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1835
CT
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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