# SOUTHEAST CONNECTICUT EYE CARE, LLC

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

## Provider details

- **NPI number:** 1326568502
- **Authorized official:** KEVIN BURKE CRANMER MD (OWNER)
- **Authorized official phone:** (860) 373-4148

## Contact information

- **Practice address:** 1041 POQUONNOCK RD, GROTON, CT 06340-4211
- **Practice address phone:** (860) 373-4148
- **Practice address fax:** (860) 661-0180
- **Mailing address:** 12 CASE ST STE 215, NORWICH, CT 06360-2222
- **Mailing address phone:** (860) 373-4148
- **Mailing address fax:** (860) 661-0180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2017
- **Last updated:** 09/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001443556 | — | CT |