Southington Optometric Care, LLC
NPI #1134315427 in Terryville, Connecticut
Provider Information
- NPI Number
- 1134315427
- Entity Type
- Organization
- Organization Name
- Southington Optometric Care, LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Sep 20, 2007
- Last Updated
- May 10, 2016
Practice Location
- Address
- 58 MAIN ST
- City
- Terryville
- State
- Connecticut
- ZIP Code
- 06786-5121
- Phone
- (860) 583-5357
Authorized Official
- Name
- DR. HEATHER L THERIAULT, OD
- Title
- MANAGER/MEMBER
- Phone
- (860) 583-5357
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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