NPI 1538831953

Jennifer Johnson, LO

Practitioner Optician Groton, CT

Practice location

Address: 489 Gold Star Hwy STE 100, Groton, CT 06340-6227
Phone: (860) 445-2461
Fax: (860) 445-8512

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 001354 (CT)

Other Technician/Technologist providers in Connecticut →

Registry record

NPI: 1538831953
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Oct 2021
Record last updated: 4 Oct 2021

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.