NPI 1497836829

Mark D. Yorgensen, OD

Practitioner Optometrist Norwich, CT

Practice location

Address: 220 Salem Tpke, Norwich, CT 06360-6455
Phone: (860) 985-9860
Mailing address: 116 Cheney Rd, Marlborough, CT 06447-1331

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2454 (CT)

Other Optometrist providers in Connecticut →

Registry record

NPI: 1497836829
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Oct 2006
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.