Whalio Doctors

NPI 1760616478

Brian William Grover, OS

Practitioner Optician Stratford, CT

Practice location

Address
2505 Main St, Stratford, CT 06615-5839
Phone
(203) 378-2281
Fax
(203) 377-0233

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence 001123 (CT)

Registry record

NPI
1760616478
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 May 2009
Record last updated
11 Jun 2009

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.