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Organization
OPHTHALMIC CONSULTANTS OF CONNECTICUT PC
Active
Organization
OPHTHALMIC CONSULTANTS OF CONNECTICUT PC
Active
Parent organization
OPHTHALMIC CONSULTANTS OF CONNECTICUT
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPHTHALMIC CONSULTANTS OF CONNECTICUT
Authorized official
JOSEPH THIMONS OD (VICE PRESIDENT)
(203) 366-8000
Entity
Organization
Contact information
Practice address
1375 KINGS HWY, FAIRFIELD, CT 06824-5318
(203) 366-8000
Mailing address
825 E GATE BLVD STE 111, GARDEN CITY, NY 11530-2136
(516) 804-5200
(516) 240-6540
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002247
CT
207W00000X
Ophthalmology Physician
Primary
041155
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001411553
—
CT
05
—
004226115
—
CT
Enumeration date
06/03/2006
Last updated
07/07/2020
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