Organization
4D OPTOMETRY, LLC
Active
Other names
4D Vision Gym
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUANITA D COLLIER MS, OD (OPTOMETRIST)
(860) 632-8243
Entity
Organization
Contact information
Practice address
181 SHUNPIKE RD, CROMWELL, CT 06416-1143
(860) 632-8423
Mailing address
181 SHUNPIKE RD, CROMWELL, CT 06416-1143
(860) 632-8423
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
2779
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11999461
CAQH
—
Enumeration date
06/17/2013
Last updated
06/17/2013
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.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up