Individual
DR. CHARLENE MARIE CHATEAUNEUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1013 FARMINGTON AVE, WEST HARTFORD, CT 06107-2106
(860) 233-2020
(860) 236-4979
Mailing address
1013 FARMINGTON AVE, WEST HARTFORD, CT 06107-2106
(860) 233-2020
(860) 236-4979
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002622
CT
152W00000X
Optometrist
4297
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004239837
—
CT
01
—
03117
SPECTERA
CT
01
—
061354112
VISION SERVICE PLAN
CT
01
—
090002622CT01
BLUE CROSS/BLUE SHIELD
CT
01
—
102622
CONNECTICARE
CT
01
—
214988
COLE
CT
01
—
2V5782
HEALTHNET
CT
01
—
3393021
AETNA
CT
01
—
905489
BLOCK
CT
Enumeration date
10/25/2005
Last updated
12/07/2012
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