Organization
PRO-VISION, INC.
Active
Other names
Cohen's Fashion Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH BLUM O.D. (OWNER)
(203) 359-9600
Entity
Organization
Contact information
Practice address
100 GREYROCK PL, STAMFORD, CT 06901-3118
(203) 359-9600
(203) 975-8836
Mailing address
100 GREYROCK PL, STAMFORD, CT 06901-3118
(203) 359-9600
(203) 975-8836
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CT 000961
CT
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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