# PETER EUGENE LIBRE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PETER E LIBRE MD
- **Other names:** Connecticut Glaucoma Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376716449
- **Legal business name:** PETER E LIBRE MD
- **Authorized official:** DR. PETER E LIBRE MD (OWNER)
- **Authorized official phone:** (203) 853-2020

## Contact information

- **Practice address:** 111 EAST AVE, SUITE 335, NORWALK, CT 06851-5014
- **Practice address phone:** (203) 853-2020
- **Practice address fax:** (203) 852-9553
- **Mailing address:** 111 EAST AVE, SUITE 335, NORWALK, CT 06851-5014
- **Mailing address phone:** (203) 853-2020
- **Mailing address fax:** (203) 852-9553

## Taxonomy

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

## Other

- **Enumeration date:** 04/09/2008
- **Last updated:** 04/05/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001338244 | — | CT |
| 01 | — | 01554461 | MEDICAID NY | NY |
| 01 | — | 07J861 | MEDICARE NY | NY |