Organization
KILLINGLY EYE CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L BOCCUZZI O.D. (PRESIDENT)
(860) 779-1588
Entity
Organization
Contact information
Practice address
25 GREEN HOLLOW RD, DANIELSON, CT 06239-3509
(860) 779-1588
(860) 779-1754
Mailing address
25 GREEN HOLLOW RD, DANIELSON, CT 06239-3509
(860) 779-1588
(860) 779-1754
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
864
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4188258
—
CT
01
—
52KILLEYECT01
BLUE CROSS BLUE SHIELD
CT
Enumeration date
09/21/2006
Last updated
10/21/2010
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