Organization
EYE DISEASE CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ANTON GAUDIO M.D. (MANAGING PARTNER)
(860) 549-2020
Entity
Organization
Contact information
Practice address
1043 FARMINGTON AVE, WEST HARTFORD, CT 06107-2110
(860) 549-2020
(860) 549-2025
Mailing address
1043 FARMINGTON AVE, WEST HARTFORD, CT 06107-2110
(860) 549-2020
(860) 549-2025
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002692
CT
207W00000X
Ophthalmology Physician
011792
CT
207W00000X
Ophthalmology Physician
Primary
041429
CT
207WX0107X
Retina Specialist (Ophthalmology) Physician
011792
CT
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
041429
CT
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004242492
—
CT
05
—
9736841
—
MA
Enumeration date
03/03/2006
Last updated
07/21/2022
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