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Organization
PETER EUGENE LIBRE
Active
Organization
PETER EUGENE LIBRE
Active
Parent organization
PETER E LIBRE MD
Other names
Connecticut Glaucoma Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
PETER E LIBRE MD
Authorized official
DR. PETER E LIBRE MD (OWNER)
(203) 853-2020
Entity
Organization
Contact information
Practice address
111 EAST AVE, SUITE 335, NORWALK, CT 06851-5014
(203) 853-2020
(203) 852-9553
Mailing address
111 EAST AVE, SUITE 335, NORWALK, CT 06851-5014
(203) 853-2020
(203) 852-9553
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001338244
—
CT
01
—
01554461
MEDICAID NY
NY
01
—
07J861
MEDICARE NY
NY
Enumeration date
04/09/2008
Last updated
04/05/2022
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