Organization
CONSULTING OPHTHALMOLOGISTS, P.C.
Active
Parent organization
CONSULTING OPHTHALMOLOGISTS, P.C.
Other names
Consulting Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONSULTING OPHTHALMOLOGISTS, P.C.
Authorized official
MARIA ANN MAZZOCCOLI (DIRECTOR OF HIT)
(860) 678-0202
Entity
Organization
Contact information
Practice address
295 WESTERN BLVD, GLASTONBURY, CT 06033-1256
(606) 780-2028
(860) 368-2558
Mailing address
704 HEBRON AVE, SUITE 200, GLASTONBURY, CT 06033-5020
(860) 368-2244
(860) 368-2558
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
001645
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0174730002
MEDICARE DME
—
Enumeration date
05/19/2006
Last updated
04/04/2023
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