NPI 1003799362

Merdoche Ephraim Gustave

Practitioner Optician Groton, CT

Practice location

Address: 150 Gold Star Hwy, Groton, CT 06340-3442
Phone: (860) 449-0185

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1939 (CT)

Other Technician/Technologist providers in Connecticut →

Registry record

NPI: 1003799362
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2025
Record last updated: 25 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.