Individual
PETER PEGOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
612 QUAKER LN S, SUITE B, WEST HARTFORD, CT 06110-1027
(860) 236-1218
(860) 231-9298
Mailing address
612 QUAKER LN S, SUITE B, WEST HARTFORD, CT 06110-1027
(860) 236-1218
(860) 231-9298
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CT02448
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002448
CONNECTICARE
—
01
—
090002448CT02
BLUE CROSS BLUE SHIELD
—
01
—
1749886
CIGNA
—
01
—
203912450
UNITED HEALTH CARE
—
01
—
2V5586
HEALTH NET
—
01
—
5094583
AETNA
—
01
—
522108187187
TRICARE
—
Enumeration date
08/30/2006
Last updated
07/26/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us