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NPI Code Detail

MEDICARE: WEST STREET OPTICAL LLC

MEDICARE: WEST STREET OPTICAL LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician

General Provider Information

NPI Number : 1487529640
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST STREET OPTICAL LLC
Provider Business Mailing Address
First Line : 29 WEST ST
Second Line :
City : LITCHFIELD
State : CT
Zip : 06759-3501
Country : US
Telephone Number : 860-567-4565
Fax Number : 860-567-1775
Provider Business Practice Location Address
First Line : 29 WEST ST
Second Line :
City : LITCHFIELD
State : CT
Zip : 06759-3501
Country : US
Telephone Number : 860-567-4565
Fax Number : 860-567-1775
Authorized Official
Title or Position : OWNER
Name : JAIME POND
Credential :
Telephone Number : 860-567-4565
Provider Enumeration Date : 10/08/2025
Last Update Date : 10/08/2025

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Directions to “WEST STREET OPTICAL LLC ” Practice Location

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