Organization
CONNECTICUT ADVANCED EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHA LAKSHMI RAMAMURTHY OD, MS (OPTOMETRIST)
(860) 529-5429
Entity
Organization
Contact information
Practice address
67 WELLS RD, WETHERSFIELD, CT 06109-3043
(860) 529-5429
(860) 563-5202
Mailing address
67 WELLS RD, WETHERSFIELD, CT 06109-3043
(860) 529-5429
(860) 563-5202
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2672
CT
152WC0802X
Corneal and Contact Management Optometrist
2672
CT
152WP0200X
Pediatric Optometrist
2672
CT
Other
Enumeration date
10/07/2009
Last updated
03/17/2018
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