Organization
RATCHFORD EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GINA RATCHFORD M.D. (MEMBER)
(860) 829-8939
Entity
Organization
Contact information
Practice address
1166 FARMINGTON AVE., BERLIN, CT 06037-2302
(860) 829-8939
(860) 829-8938
Mailing address
1166 FARMINGTON AVE., BERLIN, CT 06037-2302
(860) 829-8939
(860) 829-8938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
037297
CT
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004259158
—
CT
Enumeration date
11/02/2006
Last updated
12/16/2023
Update your record
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