Brian William Grover, O.S. Valid NPI

Individual provider · Optician · Stratford, CT

NPI

1760616478

Type

Individual (Type 1)

Primary specialty

Optician (Technician/Technologist)

Specialty group

Eye and Vision Services Providers

Taxonomy code

156FX1800X

License number

001123 (CT)

Sex

Male

Sole proprietor

Yes

Enumerated

2009-05-08

Last updated

2009-06-11