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Organization
WINDHAM EYE GROUP P.C.
Active
Organization
WINDHAM EYE GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA P WOODS M.D. (PRESIDENT)
(860) 423-1619
Entity
Organization
Contact information
Practice address
83 QUARRY ST, WILLIMANTIC, CT 06226-1238
(860) 423-1619
(860) 423-7640
Mailing address
83 QUARRY ST, WILLIMANTIC, CT 06226-1238
(860) 423-1619
(860) 423-7640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001271477
EDS CATON REARDON
CT
01
—
001402164
EDS WOODS
CT
01
—
004129674
EDS GROUP- WEG
CT
01
—
010027147CT01
CATON REARDON
CT
01
—
010040216CT01
BC/BS WOODS
CT
01
—
027147
CONNECTICARE - PCR
CT
01
—
090002619CT01
BC/BS CLARK
CT
01
—
24928
AETNA PCR HMO & QPOS
CT
01
—
2747719
AETNA WOODS HMO & QPO
CT
01
—
709097
CONNECTICARE -WOODS
CT
01
—
C14795
MEDICARE RR
CT
Enumeration date
07/25/2006
Last updated
03/29/2012
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