Fedora Optical INC
NPI #1750507380 in Manchester, Connecticut
Provider Information
- NPI Number
- 1750507380
- Entity Type
- Organization
- Organization Name
- Fedora Optical INC
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Apr 18, 2007
- Last Updated
- Feb 18, 2021
Practice Location
- Address
- 236 N MAIN ST
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06042-2004
- Phone
- (860) 646-3577
Authorized Official
- Name
- MR. PETER J. FEDORA, L.O.
- Title
- PRESIDENT
- Phone
- (860) 646-3577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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