Individual
DR. RICHARD RUSSELL ROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
348 HARTFORD TPKE, VERNON, CT 06066-4747
(860) 870-5800
(860) 871-0579
Mailing address
97 IRENE DR, VERNON, CT 06066-4005
(860) 872-8717
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CT0745
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2322856
AETNA
CT
01
—
448993
CONNETICARE
CT
01
—
OXFORD
P2751756
CT
Enumeration date
02/05/2007
Last updated
05/17/2015
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