Organization
EAGLE RIVER OPHTHALMIC SURGEONS LLC
Active
Other names
EROSLLC, ERiCareMD, ERiCareCT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER C TSANG M.D. (PRESIDENT)
(907) 561-0774
Entity
Organization
Contact information
Practice address
11 MOUNTAIN AVE, STE 308, BLOOMFIELD, CT 06002-2343
(860) 943-1997
(860) 943-1990
Mailing address
84 TIMBERWOOD RD, WEST HARTFORD, CT 06117-1466
(860) 943-1997
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1101X
Ophthalmic Assistant
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020508
—
AK
Enumeration date
08/29/2008
Last updated
11/12/2021
Update your record
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