person
Jonathan P Ackley, LO
Optician in Bridgeport, Connecticut
NPI 1770893976

Jonathan P Ackley is a Optician based in Bridgeport, CT and is specialized in Optician. Jonathan P Ackley practices in Bridgeport, CT and has the professional credentials of LO. The NPI Number for Jonathan P Ackley is 1770893976 and holds a License No. 783 (Connecticut).

The current practice location address for Jonathan P Ackley is 4270 Main St, Bridgeport, CT and can be reached out via phone at 203-372-4569 and via fax at 203-372-6550.

Location: 4270 Main St, Bridgeport, CT, 06606-2306
person
Provider Profile Details
NPI Number
1770893976
Provider Name
Jonathan P Ackley
Credential
LO
Provider Entity Type
Individual
Gender
Male
Address
4270 Main St, Bridgeport, CT, 06606-2306
Phone Number
203-372-4569
Fax Number
203-372-6550
Provider Enumeration Date
10/21/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4270 Main St
City
State
Zip
06606-2306
Phone Number
203-372-4569
Fax Number
203-372-6550
person
Provider Business Mailing Address Details
Address
4270 Main St
City
State
Zip
06606-2306
Phone Number
203-372-4569
Fax Number
203-372-6550
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
783 (Connecticut)
Definition
Definition to come...
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