NPI 1336615764

Lee Robert McKinney, LO

Practitioner Optician Stratford, CT

Practice location

Address: 495 Hawley Ln, Stratford, CT 06614-1514
Phone: (203) 375-5819
Fax: (203) 377-4337

Registered specialties (2)

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1193 (CT)

Other Technician/Technologist providers in Connecticut →

Ophthalmic Technician/Technologist

Eye and Vision Services Providers Taxonomy 156FX1100X Licence 1193 (CT)

Registry record

NPI: 1336615764
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2018
Record last updated: 24 Oct 2018

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.