person
Mr. Edward M Vergara, LO
Optician in Derby, Connecticut
NPI 1942315916

Edward M Vergara is a Optician based in Derby, CT and is specialized in Optician. Edward M Vergara practices in Derby, CT and has the professional credentials of LO. The NPI Number for Edward M Vergara is 1942315916 and holds a License No. (Connecticut).

The current practice location address for Edward M Vergara is 656 New Haven Ave, Derby, CT and can be reached out via phone at 203-736-2675.

Location: 656 New Haven Ave, Derby, CT, 06418-2528
person
Provider Profile Details
NPI Number
1942315916
Provider Name
Edward M Vergara
Credential
LO
Provider Entity Type
Individual
Gender
Male
Address
656 New Haven Ave, Derby, CT, 06418-2528
Phone Number
203-736-2675
Fax Number
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004086949 05 CT
institution
Provider Business Practice Location Address Details
Address
656 New Haven Ave
City
State
Zip
06418-2528
Phone Number
203-736-2675
Fax Number
person
Provider Business Mailing Address Details
Address
656 New Haven Ave
City
State
Zip
06418-2528
Phone Number
203-736-2675
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
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