Kirk Larsen
Optician
850 Hartford Tpke Cohens Fashion Optical
Waterford
, Connecticut 06385-4238
(860) 444-1800
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About
Features
Specialties
- Optician
Languages spoken
- English
Location
First Address
- Kirk Larsen
- 850 Hartford Tpke Cohens Fashion Optical
- Waterford, CT
- Zip : 06385-4238
- Fax : (860) 444-1800
- Phone : (860) 444-7360
Second Address
- Kirk Larsen
- 850 Hartford Tpke Cohens Fashion Optical
- Waterford, CT
- Zip : 06385-4238
- Fax : (860) 444-1800
- Phone : (860) 444-7360
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1800X | Optician | 001095 | CT |
National Provider Identifier
| NPI | 1124413703 |
|---|---|
| Provider Name | Kirk Larsen |
| First Address | Waterford, CT 06385-4238 |
| Second Address | Waterford, CT 06385-4238 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2015 |
| Last Update Date | 01/04/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.