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DR. CHRISTOPHER LOUIS AGRO O.D.
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1912977380
Individual Registrant:DR. CHRISTOPHER LOUIS AGRO O.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
149 HAZARD AVE ENFIELD, CT 06082-4521 US
Tel: 860-749-0757 Fax: 860-763-4335
Tel: 860-749-0757 Fax: 860-763-4335
Contact information for business:
149 HAZARD AVE ENFIELD, CT 06082-4521 US
Tel: 860-749-0757 Fax: 860-763-4335
Tel: 860-749-0757 Fax: 860-763-4335
Registration Information:
NPI: 1912977380
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | CT | 002333 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 4129070 | CT | 05 |
