NPI 1043693468

Michael R Kelly

Practitioner Optician Vernon, CT

Practice location

Address: 458 Talcottville Rd, Vernon, CT 06066-4052
Phone: (860) 875-6156
Fax: (860) 872-3828

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 000733 (CT)

Other Technician/Technologist providers in Connecticut →

Registry record

NPI: 1043693468
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2015
Record last updated: 2 Jul 2015

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.