Organization
SOUTHEAST CONNECTICUT EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BURKE CRANMER MD (OWNER)
(860) 373-4148
Entity
Organization
Contact information
Practice address
1041 POQUONNOCK RD, GROTON, CT 06340-4211
(860) 373-4148
(860) 661-0180
Mailing address
12 CASE ST STE 215, NORWICH, CT 06360-2222
(860) 373-4148
(860) 661-0180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001443556
—
CT
Enumeration date
06/20/2017
Last updated
09/10/2020
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