# CONNECTICUT RETINA CONSULTANTS LLC

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

## Provider details

- **NPI number:** 1134246853
- **Authorized official:** WAYNE IAN LARRISON M.D. (PARTNER/PHYSICIAN)
- **Authorized official phone:** (203) 787-6161

## Contact information

- **Practice address:** 46 PRINCE STREET, SUITE 203, NEW HAVEN, CT 06519-1600
- **Practice address phone:** (203) 787-6161
- **Practice address fax:** (203) 776-0300
- **Mailing address:** 46 PRINCE STREET, SUITE 203, NEW HAVEN, CT 06519-1600
- **Mailing address phone:** (203) 787-6161
- **Mailing address fax:** (203) 776-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 03754 | CT | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 09/08/2023