Individual
DR. THOMAS R CONROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2300 DIXWELL AVE, HAMDEN, CT 06514-2108
(203) 248-3937
(203) 288-5679
Mailing address
2300 DIXWELL AVE, HAMDEN, CT 06514-2108
(203) 248-3937
(203) 288-5679
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002315
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001888867001
UNITED HEALTHCARE ID
CT
01
—
0614004920005
CIGNA ID
CT
01
—
090002315CT
ANTHEM ID
CT
01
—
102315
CONNECTICARE ID
CT
01
—
2301
HEALTHNET ID
CT
01
—
P605594
OXFORD HEALTH PLAN ID
CT
Enumeration date
02/28/2007
Last updated
06/03/2008
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