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Organization

CONNECTICUT CHILDRENS EYE CARE PC

Active
Parent organization
CONNECTICUT CHILDRENS EYE CARE PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CONNECTICUT CHILDRENS EYE CARE PC
Authorized official
PAUL RYCHWALSKI MD (PRESIDENT)
(860) 837-9600
Entity
Organization

Contact information

Practice address
131 NEW LONDON TPKE STE 200, GLASTONBURY, CT 06033-2246
(860) 837-9600
Mailing address
10 COLUMBUS BLVD, HARTFORD, CT 06106-1976
(860) 837-9600

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
152WP0200X
Pediatric Optometrist
156FX1800X
Optician
207W00000X
Ophthalmology Physician
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
363A00000X
Physician Assistant

Other

Enumeration date
09/08/2020
Last updated
11/25/2020
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