| Organization Name: | VISION CENTER OF FARMINGTON VALLEY LLC |
| NPI Number: | 1154449213 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH SYLVESTRE (LICENSED OPTICIAN OWNER) |
| Mailing Address: | 110 Hopmeadow St Suite 100 Weatogue |
| State: | CT US |
| Postal Code: | 060899407 |
| Phone Number: | 8606581704 |
| Fax Number: | 8606519966 |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | CT1222 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |