Individual
MARNIE CATHERINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
366 COLT HWY, FARMINGTON, CT 06032-2547
(860) 409-0449
(860) 409-0551
Mailing address
366 COLT HWY, FARMINGTON, CT 06032-2547
(860) 409-0449
(860) 409-0551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02659
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004249589
—
CT
01
—
026590
CONNECTICARE
CT
01
—
090002659CT01
ANTHEM BLUE CROSS
CT
01
—
1566708
CIGNA
CT
01
—
2V6349
HEALTHNET
CT
01
—
3815284
AETNA
CT
01
—
P3576498
OXFORD
CT
Enumeration date
07/27/2006
Last updated
04/14/2022
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