Evans, Stacey R

Evans, Stacey R is an individual health care provider with primary practice located at 333 Kennedy Dr Ste L202 , Torrington CT 06790-7201. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Evans, Stacey R can be contacted via phone (860) 482-9399.

Contact Information

Primary practice address
333 Kennedy Dr Ste L202 Torrington CT 06790-7201
Phone: (860) 482-9399
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 001826 Connecticut

Profile Details

NPI number 1134900830
LBN Legal business name Evans, Stacey R
Credentials LO
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2023
Last updated Oct 9th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers