Individual
HOPE BERNARD MARANDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10 NORWICH RD., CENTRAL VILLAGE, CT 06332-0545
(860) 564-2709
(860) 564-4347
Mailing address
P.O. BOX 545, CENTRAL VILLAGE, CT 06332-0545
(860) 564-2709
(860) 564-4347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002311
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004124343
—
CT
01
—
090002311CT03
ANTHEM BCBS
CT
01
—
2V3741
HEALTHNET
CT
01
—
50890
DAVIS VISION
—
01
—
558369
CONNECTICARE
CT
01
—
CT2311
EYE MED
—
Enumeration date
01/19/2006
Last updated
03/14/2014
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