NPI 1285145508

Xiuyang Guo

Practitioner Optometrist Waterbury, CT

Practice location

Address: 87 Grandview Ave, Waterbury, CT 06708-2514
Phone: (203) 805-7022

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3058 (CT)

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Registry record

NPI: 1285145508
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2017
Record last updated: 12 Oct 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.