person
Mr. Bradley Peter Bohman, LO
Optician in Waterford, Connecticut
NPI 1023245776

Bradley Peter Bohman is a Optician based in Westerly, CT and is specialized in Optician. Bradley Peter Bohman practices in Waterford, CT and has the professional credentials of LO. The NPI Number for Bradley Peter Bohman is 1023245776 and holds a License No. 632 (Connecticut).

The current practice location address for Bradley Peter Bohman is Vision Center, Waterford, CT and can be reached out via phone at 860-437-3748.

Location: Vision Center, Waterford, CT, 02891-1741
person
Provider Profile Details
NPI Number
1023245776
Provider Name
Bradley Peter Bohman
Credential
LO
Provider Entity Type
Individual
Gender
Male
Address
Vision Center, Waterford, CT, 02891-1741
Phone Number
860-437-3748
Fax Number
Provider Enumeration Date
06/19/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
581910859 01 CT TAX ID
institution
Provider Business Practice Location Address Details
Address
Vision Center
City
State
Zip
06385
Phone Number
860-437-3748
Fax Number
person
Provider Business Mailing Address Details
Address
Vision Center
City
State
Zip
06385
Phone Number
860-437-3748
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
632 (Connecticut)
Definition
Definition to come...
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