Whalio Doctors

NPI 1346477395

John Thomas Brennan, LO

Practitioner Optician Wallingford, CT

Practice location

Address
300 S Main St, Wallingford, CT 06492-4603
Phone
(203) 626-5247

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence 001495 (CT)

Registry record

NPI
1346477395
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Jun 2009
Record last updated
17 Jun 2009

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.