Organization
DANA L SHEPARD OD & ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA LYNN SHEPARD (PRESIDENT)
(203) 596-0406
Entity
Organization
Contact information
Practice address
3600 E MAIN ST, WATERBURY, CT 06705-3851
(203) 596-0406
Mailing address
22 RUSSET LN, SOUTHINGTON, CT 06489-1771
(203) 596-0406
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2198
CT
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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