NPI 1063555316

Fredric Ivan Smilen, OD

Practitioner Optometrist Stamford, CT

Practice location

Address: 100 Greyrock Pl, Stamford, CT 06901-3118
Phone: (203) 348-3665
Mailing address: 5 Timber Ln, Monroe, CT 06468-2641

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence CT2279 (CT)

Other Optometrist providers in Connecticut →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence T-005145-1 (NY)

Registry record

NPI: 1063555316
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2007
Record last updated: 8 Jul 2007

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.