# NORWICH OPHTHALMOLOGY GROUP, P.C.

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

## Provider details

- **NPI number:** 1447438924
- **Authorized official:** DR. ANISH U SHAH MD (PRESIDENT)
- **Authorized official phone:** (860) 886-0161

## Contact information

- **Practice address:** 79 WAWECUS ST, SUITE 105, NORWICH, CT 06360-2160
- **Practice address phone:** (860) 886-0161
- **Practice address fax:** (860) 889-5999
- **Mailing address:** 79 WAWECUS ST, SUITE 105, NORWICH, CT 06360-2160
- **Mailing address phone:** (860) 886-0161
- **Mailing address fax:** (860) 889-5999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 01/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004394623 | — | CT |