Individual
PAUL F HYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
83 QUARRY ST, WILLIMANTIC, CT 06226-1238
(860) 423-1619
(860) 423-1619
Mailing address
83 QUARRY ST, WILLIMANTIC, CT 06226-1238
(860) 423-1619
(860) 423-1619
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002268
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004192366
—
CT
01
—
090002268CT01
BLUE SHIELD CT
CT
01
—
0V5245
HEALTHNET
—
01
—
2071221
UNITED HEALTH CARE
—
01
—
410000917
DMERC
—
01
—
8585819
CIGNA
CT
01
—
AA38466
HARVARD PILGRIM HEALTH
—
01
—
P1292483
OXFORD
—
Enumeration date
06/19/2006
Last updated
12/01/2008
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