MR. Bradley Peter Bohman, LO
NPI #1023245776 in Waterford, Connecticut
Provider Information
- NPI Number
- 1023245776
- Entity Type
- Individual
- Name
- MR. Bradley Peter Bohman, LO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LO
- Enumeration Date
- Jun 19, 2009
- Last Updated
- Jun 19, 2009
Practice Location
- Address
- VISION CENTER
- Address 2
- 155 WATERFORD PKWY NORTH
- City
- Waterford
- State
- Connecticut
- ZIP Code
- 06385
- Phone
- (860) 437-3748
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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