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DR. DOUGLAS P AGRANOV O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1952364465

Individual Registrant:
DR. DOUGLAS P AGRANOV O.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
749 BOSTON POST RD  MADISON, CT 06443-3044 US
Tel: 203-245-1492  Fax: 203-245-9002

Contact information for business:
87 GRANDVIEW AVE  WATERBURY, CT 06708-2514 US
Tel: 203-574-2020  Fax: 203-596-2230

Registration Information:
NPI: 1952364465
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CT000703

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
004023701CT05




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