Organization
NORWICH OPHTHALMOLOGY OPTICAL, INC.
Active
Parent organization
NORWICH OPHTHALMOLOGY OPTICAL INC.
Other names
EyeQ Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORWICH OPHTHALMOLOGY OPTICAL INC.
Authorized official
DR. JEFFREY A. HERTZ M.D. (PRESIDENT)
(860) 886-0161
Entity
Organization
Contact information
Practice address
188 NORWICH AVE, COLCHESTER, CT 06415-1256
(860) 537-4644
(860) 537-2501
Mailing address
79 WAWECUS ST, NORWICH, CT 06360-2160
(860) 886-0161
(860) 889-5999
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
000433
CT
332H00000X
Eyewear Supplier
Primary
001624
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008004664
—
CT
Enumeration date
07/07/2009
Last updated
05/18/2011
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