Organization
KING FAMILY EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS C KING O.D. (MEMBER)
(860) 388-9300
Entity
Organization
Contact information
Practice address
761 BOSTON POST RD, OLD SAYBROOK, CT 06475-2126
(860) 388-9300
(860) 396-2885
Mailing address
761 BOSTON POST RD, OLD SAYBROOK, CT 06475-2126
(860) 388-9300
(860) 396-2885
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CT2553
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50KINGEYECT01
ANTHEM BCBS
CT
Enumeration date
12/07/2006
Last updated
08/22/2020
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