Jonathan P Ackley, L.O Valid NPI
Individual provider · Optician · Bridgeport, CT
- NPI
- 1770893976
- Type
- Individual (Type 1)
- Primary specialty
- Optician (Technician/Technologist)
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 156FX1800X
- License number
- 783 (CT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2010-10-21
- Last updated
- 2010-10-21
Practice location
4270 Main St
Bridgeport, CT 06606-2306
(203) 372-4569