Individual
MRS. KATHARINA ERNST-SIXTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
495 HAWLEY LN, STRATFORD, CT 06614-1514
(203) 375-5819
(203) 377-4337
Mailing address
495 HAWLEY LN, STRATFORD, CT 06614-1514
(203) 375-5819
(203) 377-4337
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
001623
CT
332H00000X
Eyewear Supplier
Primary
001623
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114438652
—
CT
Enumeration date
01/03/2018
Last updated
06/16/2018
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