Individual
DR. MICHELE R. MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
Mailing address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002099
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002099
CONNECTICARE
CT
05
—
004224721
—
CT
01
—
090002099CT02
ANTHEM BLUE CROSS
CT
01
—
2V2740
HEALTHNET
CT
01
—
4111728
AETNA
CT
01
—
CT2099
COLE VISION
CT
01
—
P2679716
OXFORD
CT
Enumeration date
06/23/2006
Last updated
05/03/2011
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