# WINDHAM EYE GROUP P.C.

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

## Provider details

- **NPI number:** 1801818802
- **Authorized official:** DR. DANA P WOODS M.D. (PRESIDENT)
- **Authorized official phone:** (860) 423-1619

## Contact information

- **Practice address:** 83 QUARRY ST, WILLIMANTIC, CT 06226-1238
- **Practice address phone:** (860) 423-1619
- **Practice address fax:** (860) 423-7640
- **Mailing address:** 83 QUARRY ST, WILLIMANTIC, CT 06226-1238
- **Mailing address phone:** (860) 423-1619
- **Mailing address fax:** (860) 423-7640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 03/29/2012

## 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 |