Organization
OPTICARE EYE HEALTH CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY A NOLL (EXEC VICE PRES)
(203) 574-2020
Entity
Organization
Contact information
Practice address
87 GRANDVIEW AVE, WATERBURY, CT 06708-2514
(203) 574-2020
(203) 596-2230
Mailing address
87 GRANDVIEW AVE, WATERBURY, CT 06708-2514
(203) 574-2020
(203) 596-2230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
0071
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004002812
—
CT
05
—
004081353
—
CT
05
—
004171766
—
CT
Enumeration date
05/11/2006
Last updated
02/12/2010
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