Organization
WALLINGFORD EYE CARE CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN H ELDER O.D. (VICE-PRESIDENT)
(203) 265-5152
Entity
Organization
Contact information
Practice address
821 N MAIN STREET EXT, WALLINGFORD, CT 06492-2464
(203) 265-5152
(203) 265-1562
Mailing address
821 N MAIN STREET EXT, WALLINGFORD, CT 06492-2464
(203) 265-5152
(203) 265-1562
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004024865
—
CT
Enumeration date
05/23/2007
Last updated
03/20/2014
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