Organization
OPTOMETRIC SPECIALTY GROUP OF SIMSBURY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER PEGOLO OD (OD/PRESIDENT)
(860) 658-1620
Entity
Organization
Contact information
Practice address
883 HOPMEADOW ST, SIMSBURY, CT 06070-1884
(860) 658-1620
(860) 658-7923
Mailing address
883 HOPMEADOW ST, SIMSBURY, CT 06070-1884
(860) 658-1620
(860) 658-7923
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
11/01/2022
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