NPI 1023245776

Bradley Peter Bohman, LO

Practitioner Optician Waterford, CT

Practice location

Address: Vision Center 155 Waterford Pkwy North, Waterford, CT 06385
Phone: (860) 437-3748
Mailing address: 38 Oak St, Westerly, RI 02891-1741

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 632 (CT)

Other Technician/Technologist providers in Connecticut →

Registry record

NPI: 1023245776
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2009
Record last updated: 19 Jun 2009

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.