Organization
VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P. WOJCIK LO (OWNER)
(203) 488-2082
Entity
Organization
Contact information
Practice address
845 W MAIN ST, BRANFORD, CT 06405-3413
(203) 488-2082
Mailing address
845 W MAIN ST, BRANFORD, CT 06405-3413
(203) 488-2082
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LO642
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100000642CT03
ANTHEM BCBS
CT
01
—
OP1028
EYE MED
CT
Enumeration date
04/15/2007
Last updated
08/22/2020
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