# GREATER HARTFORD OPHTHALMOLOGY LLC

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

## Provider details

- **NPI number:** 1780868992
- **Authorized official:** DR. PRASAD PANTHAGANI MD (MEMBER)
- **Authorized official phone:** (860) 242-9090

## Contact information

- **Practice address:** 701 COTTAGE GROVE RD, B210, BLOOMFIELD, CT 06002-3080
- **Practice address phone:** (860) 242-9090
- **Practice address fax:** (860) 242-9191
- **Mailing address:** 701 COTTAGE GROVE RD, B210, BLOOMFIELD, CT 06002-3080
- **Mailing address phone:** (860) 242-9090
- **Mailing address fax:** (860) 242-9191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 044859 | CT | Yes |

## Other

- **Enumeration date:** 12/24/2007
- **Last updated:** 01/04/2010