NPI 1063754406

Janelle C Fern, OD

Practitioner Optometrist Newington, CT

Practice location

Address: 262 Brockett St, Newington, CT 06111-3907
Phone: (860) 667-2020
Fax: (860) 667-0770

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2888 (CT)

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Registry record

NPI: 1063754406
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2013
Record last updated: 3 Aug 2020

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.