MR. Ryan G Weaver, LO, ABOC, NCLEC
NPI #1255856845 in Putnam, Connecticut
Provider Information
- NPI Number
- 1255856845
- Entity Type
- Individual
- Name
- MR. Ryan G Weaver, LO, ABOC, NCLEC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LO, ABOC, NCLEC
- Enumeration Date
- Aug 4, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 625 SCHOOL ST
- City
- Putnam
- State
- Connecticut
- ZIP Code
- 06260-2424
- Phone
- (860) 630-4634
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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