Individual
KAREN GRANTE BONNANZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7365 MAIN ST, STRATFORD, CT 06614-1300
(203) 377-3937
(888) 741-0620
Mailing address
7365 MAIN ST, STRATFORD, CT 06614-1300
(203) 377-3937
(888) 741-0620
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002346
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004160983
—
CT
01
—
020346
CONNECTICARE
CT
01
—
0297743
AETNA
CT
01
—
1040121
WELLCARE
CT
01
—
115529
EYEMED
CT
01
—
1801834247
OXFORD
CT
01
—
204142248
CIGNA
CT
01
—
50ORONOQUCT01
ANTHEM
CT
Enumeration date
10/12/2006
Last updated
10/13/2016
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