Basic Information
| Provider Information | |||||||||
| NPI: | 1922287283 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DAY | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | M. | ||||||||
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| Credential: | L.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 546 S BROAD ST | ||||||||
| Address2: | |||||||||
| City: | MERIDEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064506600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2032352511 | ||||||||
| FaxNumber: | 2036390809 | ||||||||
| Practice Location | |||||||||
| Address1: | 325 HIGHLAND AVE | ||||||||
| Address2: | |||||||||
| City: | CHESHIRE | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064102548 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2032713937 | ||||||||
| FaxNumber: | 2032713937 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/02/2007 | ||||||||
| LastUpdateDate: | 11/02/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 156FX1800X | 001449 | CT | Y | Eye and Vision Services Providers | Technician/Technologist | Optician |
No ID Information.