Individual
DR. ALBERT E. GERMAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1320 W MAIN ST, WATERBURY, CT 06708-3119
(203) 755-4941
(203) 573-8372
Mailing address
1320 W MAIN ST, WATERBURY, CT 06708-3119
(203) 755-4941
(203) 573-8372
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
896
CT
152WC0802X
Corneal and Contact Management Optometrist
896
CT
152WP0200X
Pediatric Optometrist
896
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004052197
—
CT
01
—
061078924
TAX ID #
CT
01
—
090000896CT01
BCBS PROVIDER #
CT
01
—
0R0910
HEALTH NET PROVIDER #
CT
01
—
4318020
AETNA PROVIDER #
CT
01
—
4611928
CIGNA PROVIDER #
CT
01
—
678924
CTCARE PROVIDER #
CT
01
—
P377996
OXFORD PROVIDER #
CT
Enumeration date
06/22/2006
Last updated
08/21/2013
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