NPI 1518562974

Charvel Lee Renee Blanco, LO

Practitioner Optician West Hartford, CT

Practice location

Address: 433 S Main St STE 103, West Hartford, CT 06110-2812
Phone: (860) 236-9004
Mailing address: 185 Birchwood Dr, New Britain, CT 06052-1574

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1701 (CT)

Other Technician/Technologist providers in Connecticut →

Registry record

NPI: 1518562974
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Dec 2020
Record last updated: 3 Nov 2025

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.