Whalio Doctors

NPI 1134643695

Frank Restivo, OD

Practitioner Optometrist Waterbury, CT

Practice location

Address
495 Union St STE 1082, Waterbury, CT 06706-1285
Phone
(203) 591-8353
Mailing address
2644 Imperial Valley Trl, Aurora, IL 60503-5669

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 3047 (CT)

Registry record

NPI
1134643695
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Jul 2017
Record last updated
26 Jul 2017

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.