NPI 1124413703

Kirk Larsen

Practitioner Optician Waterford, CT

Practice location

Address: 850 Hartford Tpke Cohens Fashion Optical, Waterford, CT 06385-4238
Phone: (860) 444-7360
Fax: (860) 444-1800

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 001095 (CT)

Other Technician/Technologist providers in Connecticut →

Registry record

NPI: 1124413703
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2015
Record last updated: 1 Apr 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.