Somers Vision Clinic, LLC

NPI #1295071934 in Somers, Connecticut

Provider Information

NPI Number: 1295071934
Entity Type: Organization
Organization Name: Somers Vision Clinic, LLC
Primary Specialty: Optometrist
Enumeration Date: Dec 28, 2012
Last Updated: Dec 28, 2012

Practice Location

Address: 48 SOUTH RD # 8
City: Somers
State: Connecticut
ZIP Code: 06071-2160
Phone: (860) 763-4733

Authorized Official

Name: DR. STEVEN R SQUILLACE, OD
Title: MEMBER
Phone: (860) 763-4733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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