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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN P ACKLEY, L.O

Active

JONATHAN P ACKLEY, L.O is a Optician, Dispensing healthcare provider located in BRIDGEPORT, Connecticut. NPI 1770893976 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · BRIDGEPORT, CT

Registration Details

NPI Number
1770893976
Provider Type
Individual
Gender
Male
NPI Issued
Oct 21, 2010 (15.629735274241 yrs)
Last Updated
Oct 21, 2010
License
783 (CT)

Practice Information

Address
4270 MAIN ST
BRIDGEPORT, CT, 066062306
Browse CT providers · Browse ZIP 06606
Phone
2033724569
Fax
2033726550
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in BRIDGEPORT, CT

Name Credential NPI
JEFFREY CARLOS LOBO LISCENSED OPTICIAN 1265019160
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.