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Organization

DIXWELL AVENUE EYECARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN M CARR OD (MANAGER)
(203) 767-9169
Entity
Organization

Contact information

Practice address
2100 DIXWELL AVE STE 16, HAMDEN, CT 06514-2406
(203) 281-4330
(203) 288-4018
Mailing address
531 FAIRFIELD BEACH RD, FAIRFIELD, CT 06824-6740
(203) 767-9169

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008036359
CT
Enumeration date
09/25/2018
Last updated
09/25/2018
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