Michael Thomas Criscuolo, LO Valid NPI
Individual provider · Optician · Shelton, CT
- NPI
- 1144063033
- Type
- Individual (Type 1)
- Primary specialty
- Optician (Technician/Technologist)
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 156FX1800X
- License number
- 1504 (CT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2024-06-17
- Last updated
- 2024-06-17
Practice location
465 Bridgeport Ave
Shelton, CT 06484-4751
(203) 926-1189