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Individual

EUGENE ALAN WINAKOR

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
22 SALEM TPKE, NORWICH, CT 06360-6516
(860) 889-5293
(860) 889-6597
Mailing address
22 SALEM TPKE, NORWICH, CT 06360-6516
(860) 889-5293
(860) 889-6597

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CT740
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0482187
AETNA
01
090000740CT01
BCBS
01
3762811002
CIGNA
05
4023974
CT
01
722300
CONNECTICARE
01
OVO291
HEALTH NET
01
P490586
OXFORD
Enumeration date
09/23/2005
Last updated
07/08/2007
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