NPI 1477140721

Kimberly Gagnon, LO

Practitioner Optician Newington, CT

Practice location

Address: 505 Willard Ave STE 2b, Newington, CT 06111-2650
Phone: (860) 667-0207
Mailing address: 59 Buckland Rd, Wethersfield, CT 06109-1204

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1694 (CT)

Other Technician/Technologist providers in Connecticut →

Registry record

NPI: 1477140721
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Dec 2020
Record last updated: 21 Dec 2020

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.