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Westvillage Optician
Optician in New Haven, Connecticut
NPI 1619198181

Westvillage Optician is a Optician based in New Haven, CT and is specialized in Optician. Westvillage Optician practices in New Haven, CT. The NPI Number for Westvillage Optician is 1619198181 and holds a License No. L106 (Connecticut).

The current practice location address for Westvillage Optician is 904 Whalley Ave, New Haven, CT and can be reached out via phone at 203-397-1928.

Location: 904 Whalley Ave, New Haven, CT, 06515-1700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619198181
Provider Name
Westvillage Optician
Credential
Provider Entity Type
Organization
Address
904 Whalley Ave, New Haven, CT, 06515-1700
Phone Number
203-397-1928
Fax Number
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112900 01 CT EYEMED
0521380001 01 CT MEDICARE SUPPLIER NUMBER
institution
Provider Business Practice Location Address Details
Address
904 Whalley Ave
City
New Haven
State
Connecticut
Zip
06515-1700
Phone Number
203-397-1928
Fax Number
person
Provider Business Mailing Address Details
Address
904 Whalley Ave
City
New Haven
State
Connecticut
Zip
06515-1700
Phone Number
203-397-1928
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
L106 (Connecticut)
Definition
Definition to come...
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