NPI 1861046948

Jason J Grygier, OD

Practitioner Optometrist Southport, CT

Practice location

Address: 2600 Post Rd STE 210, Southport, CT 06890-3206
Phone: (203) 255-4005
Mailing address: 33 N Water St Unit 707, Norwalk, CT 06854-2557

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3108 (CT)

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Registry record

NPI: 1861046948
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2019
Record last updated: 28 Jul 2019

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.