Organization
NORWICH OPHTHALMOLOGY GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANISH U SHAH MD (PRESIDENT)
(860) 886-0161
Entity
Organization
Contact information
Practice address
79 WAWECUS ST, SUITE 105, NORWICH, CT 06360-2160
(860) 886-0161
(860) 889-5999
Mailing address
79 WAWECUS ST, SUITE 105, NORWICH, CT 06360-2160
(860) 886-0161
(860) 889-5999
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004394623
—
CT
Enumeration date
02/06/2008
Last updated
01/26/2021
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