Individual
BEVERLY ANN REIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2880 OLD DIXWELL AVE, HAMDEN, CT 06518
(203) 248-6365
(203) 281-2742
Mailing address
2880 OLD DIXWELL AVE, HAMDEN, CT 06518
(203) 248-6365
(203) 281-2742
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002053
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008022610
—
CT
Enumeration date
02/15/2006
Last updated
02/18/2013
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