# RETINA CONSULTANTS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093748071
- **Authorized official:** MRS. LISA ANN DEARY (OFFICE MANAGER)
- **Authorized official phone:** (860) 646-7704

## Contact information

- **Practice address:** 191 MAIN ST, MANCHESTER, CT 06042-3556
- **Practice address phone:** (860) 646-7704
- **Practice address fax:** (860) 647-7340
- **Mailing address:** 191 MAIN ST, MANCHESTER, CT 06042-3556
- **Mailing address phone:** (860) 646-7704
- **Mailing address fax:** (860) 647-7340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 08/01/2023