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Walter S Mozden, LO
Optician in Norwich, Connecticut
NPI 1487793246

Walter S Mozden is a Optician based in Norwich, CT and is specialized in Optician. Walter S Mozden practices in Norwich, CT and has the professional credentials of LO. The NPI Number for Walter S Mozden is 1487793246 and holds a License No. 001299 (Connecticut).

The current practice location address for Walter S Mozden is 7 Clinic Drive, Norwich, CT and can be reached out via phone at 860-889-9887 and via fax at 860-889-0017.

Location: 7 Clinic Drive, Norwich, CT, 06360-2915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487793246
Provider Name
Walter S Mozden
Credential
LO
Provider Entity Type
Individual
Gender
Male
Address
7 Clinic Drive, Norwich, CT, 06360-2915
Phone Number
860-889-9887
Fax Number
860-889-0017
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112397 01 CT EYEMED VISION CARE
Z56789 01 CT OPTI CARE
100000818CT02 01 CT ANTHEM BLUE CROSS BLUE SH
4053690 05 CT
523231 01 CT CONNECITCARE
institution
Provider Business Practice Location Address Details
Address
7 Clinic Drive
City
Norwich
State
Connecticut
Zip
06360-2915
Phone Number
860-889-9887
Fax Number
860-889-0017
person
Provider Business Mailing Address Details
Address
7 Clinic Drive
City
Norwich
State
Connecticut
Zip
06360-2915
Phone Number
860-889-9887
Fax Number
860-889-0017
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens
Taxonomy
156FC0800X
License No.
000818 (Connecticut)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
001299 (Connecticut)
Definition
Definition to come...
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