Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan P Ackley, LO

Individual provider Optician · NPI 1770893976

Jonathan P Ackley, LO is an Optician in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2010.

Licensed in
CT
In the registry since
2010
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Practice location Address checks out

4270 Main St
Bridgeport, CT 06606-2306
Phone: (203) 372-4569
Fax: (203) 372-6550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 783 (CT)

Record details

NPI number1770893976
Entity typeIndividual (Type 1)
GenderMale
Credentials LO
Sole proprietorNo
NPI enumeratedOctober 21, 2010
Last updated in NPPESOctober 21, 2010
Mailing address4270 Main St, Bridgeport, CT 06606-2306

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