NPI 1356460885

Jeffrey M Fine, LICOPTICIAN

Practitioner Optician Middletown, CT

Practice location

Address: 506 Main St, Middletown, CT 06457-2810
Phone: (860) 347-4443
Fax: (860) 347-4443

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 001105 (CT)

Other Technician/Technologist providers in Connecticut →

Registry record

NPI: 1356460885
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Mar 2007
Record last updated: 8 Jul 2007

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.