NPI 1467644724

John Lange

Practitioner Optician West Hartford, CT

Practice location

Address: 836 Farmington Ave 121, West Hartford, CT 06119-1505
Phone: (860) 232-8800

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence LO764 (CT)

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Registry record

NPI: 1467644724
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2007
Record last updated: 10 Aug 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.