# EYE DISEASE CONSULTANTS, LLC

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

## Provider details

- **NPI number:** 1487621819
- **Authorized official:** DR. PAUL ANTON GAUDIO M.D. (MANAGING PARTNER)
- **Authorized official phone:** (860) 549-2020

## Contact information

- **Practice address:** 1043 FARMINGTON AVE, WEST HARTFORD, CT 06107-2110
- **Practice address phone:** (860) 549-2020
- **Practice address fax:** (860) 549-2025
- **Mailing address:** 1043 FARMINGTON AVE, WEST HARTFORD, CT 06107-2110
- **Mailing address phone:** (860) 549-2020
- **Mailing address fax:** (860) 549-2025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 002692 | CT | — |
| 207W00000X | Ophthalmology Physician | 011792 | CT | — |
| 207W00000X | Ophthalmology Physician | 041429 | CT | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | 011792 | CT | — |
| 207WX0108X | Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician | 041429 | CT | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 03/03/2006
- **Last updated:** 07/21/2022