NPI 1083259428

Nguyen Tran

Practitioner Optometrist Newington, CT

Practice location

Address: 262 Brockett St, Newington, CT 06111
Phone: (860) 667-2020
Fax: (860) 667-0770
Mailing address: 1950 Old Gallows Rd STE 520, Vienna, VA 22182-3970

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3136 (CT)

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Registry record

NPI: 1083259428
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Nov 2019
Record last updated: 7 Apr 2022

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.