NPI 1063750396

Jessica Rivera

Practitioner Optician Middletown, CT

Practice location

Address: 438 Main St Suite 204, Middletown, CT 06457-3396
Phone: (888) 964-6681
Fax: (888) 662-0859
Mailing address: 888 Worcester St Suite 130, Wellesley, MA 02482-3744

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 001672 (CT)

Other Technician/Technologist providers in Connecticut →

Registry record

NPI: 1063750396
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jan 2013
Record last updated: 24 Oct 2014

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.