ROBERT JOHN KISH OPTICS UNLIMITED LLC
Managed Care Organizations at Long Hill Rd, Groton, CT

License number
Connecticut 797
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: DR. ROBERT JOHN KISH O.D.
Title: OWNER
Phone: (860) 448-3937
Address
Address
748 Long Hill Rd, Groton, CT 06340
National Provider ID: 1477002525
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROBERT JOHN KISH OPTICS UNLIMITED LLC

748 Long Hl Rd, Groton, CT 06340

Registration:
Mar 13, 2008
State ID:
0931582
Business type:
Domestic Limited Liability Company
MANAGER:
Robert John Kish (MANAGER), 748 Long Hl Rd, Groton, CT 06340 (Mailing)
85 Briar Ln, Norwich, CT 06360 (Physical)
Agent:
Timothy P. Lenes,223 W Town St, Norwich, CT 06360 (Mailing)
22 Hickory Ln, Waterford, CT 06385 (Physical)

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