Individual
THOMAS MATTHEW ARNISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
220 WELCH RD, SOUTHINGTON, CT 06489-1013
(203) 333-4828
Mailing address
220 WELCH RD, SOUTHINGTON, CT 06489-1013
(860) 620-9681
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2025
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004091899
—
CT
01
—
048378
CONNECTICARE
—
01
—
090002025CT03
BC/BS
—
01
—
910556
BLOCK/CHN
—
01
—
OV6117
HEALTHNET
—
Enumeration date
09/28/2006
Last updated
10/18/2016
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