Individual
DR. ALPHONSE A INCLIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
415 MAIN ST, WEST HAVEN, CT 06516-4296
(203) 934-5126
(230) 932-2020
Mailing address
415 MAIN ST, WEST HAVEN, CT 06516-4296
(203) 934-5126
(230) 932-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
620
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004123882
—
CT
01
—
0519296
AETNA
CT
01
—
090000620CT01
ANTHEM
CT
01
—
22-04189
UNITED HEALTHCARE
CT
01
—
7237342004
CIGNA
CT
01
—
O.D.0V0259
HEALTHNET
CT
01
—
P378019
OXFORD
CT
Enumeration date
03/29/2006
Last updated
07/14/2010
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