Individual
DR. EVAN TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
246 FEDERAL RD UNIT A-11, BROOKFIELD, CT 06804-2647
(203) 775-1209
Mailing address
246 FEDERAL RD UNIT A-11, BROOKFIELD, CT 06804-2647
(203) 775-1209
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
003059
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003059
LICENSE
CT
Enumeration date
11/02/2017
Last updated
08/30/2022
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