Organization
THE EYE CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL DULINA (CREDENTIALING COORDINATOR)
(203) 573-4803
Entity
Organization
Contact information
Practice address
250 INDIAN RIVER ROAD, ORANGE, CT 06477
(203) 597-9100
(203) 573-4805
Mailing address
1201 WEST MAIN STREET, SUITE 100, WATERBURY, CT 06708
(203) 573-4803
(203) 573-4805
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
001610
CT
Other
Enumeration date
11/08/2013
Last updated
05/24/2017
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