NPI 1619262516

Debra Wilcox, LO

Practitioner Optometric Technician Branford, CT

Practice location

Address: 120 Commercial Pkwy, Branford, CT 06405-2537
Phone: (203) 483-1876
Mailing address: 936 N Farms Rd, Wallingford, CT 06492-1808

Registered specialties

Optometric Technician Primary

Eye and Vision Services Providers Taxonomy 156FX1202X Licence 001653 (CT)

Other Technician/Technologist providers in Connecticut →

Registry record

NPI: 1619262516
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2011
Record last updated: 20 Jun 2011

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.