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Individual

DR. ALLIE DECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2600 POST RD, SOUTHPORT, CT 06890-3206
(203) 255-4005
Mailing address
100 WOODSIDE CT UNIT 8405, TRUMBULL, CT 06611-4991

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3266
CT
152WP0200X
Pediatric Optometrist
3266
CT
152WV0400X
Vision Therapy Optometrist
3266
CT

Other

Enumeration date
06/08/2022
Last updated
02/14/2024
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