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Individual

DR. ROBERT E. KANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
168 NEW MILFORD TPKE, NEW PRESTON, CT 06777-1601
(860) 868-2020
(860) 868-2787
Mailing address
168 NEW MILFORD TPKE, PO BOX 2443, NEW PRESTON, CT 06777-1601
(860) 868-2020
(860) 868-2787

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000767
CT
152WX0102X
Occupational Vision Optometrist
000767
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
090000767CT02
BC/BS
CT
Enumeration date
08/09/2006
Last updated
04/09/2014
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