NPI 1437201076

Thomas Paul Misiewicz, OD

Practitioner Optometrist Enfield, CT

Practice location

Address: 25 North Main Street, Enfield, CT 06082-1289
Phone: (860) 745-8055
Fax: (860) 745-2355
Mailing address: PO Box 1289, Enfield, CT 06083-1289

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 000971 (CT)

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Registry record

NPI: 1437201076
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2007
Record last updated: 9 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.