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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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