Organization
NORTHEAST EYEWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DEAN MD (OWNER)
(860) 928-0414
Entity
Organization
Contact information
Practice address
5 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 928-0414
Mailing address
5 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 928-0414
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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