Connecticut Vision Center, Llc | |
64 Thompson St, Suite B104, East Haven, CT 06513-5707 | |
(203) 469-1012 | |
(203) 467-1369 |
Full Name | Connecticut Vision Center, Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 64 Thompson St, East Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942459615 | NPI | - | NPPES |
004173598 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2426 (Connecticut) | Primary |
Provider Name | Maria I Diaz |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265408371 PECOS PAC ID: 4880605757 Enrollment ID: I20060508000468 |
Provider Name | Audrey Fung |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083615850 PECOS PAC ID: 5294779096 Enrollment ID: I20100908000590 |
Provider Name | Karlee Muller |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255838991 PECOS PAC ID: 6406283100 Enrollment ID: I20200218002850 |
Provider Name | Kristian Mostert |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1043705049 PECOS PAC ID: 6305181991 Enrollment ID: I20201215002857 |
Provider Name | Maysoon Majdi Salem |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1982363545 PECOS PAC ID: 6406229806 Enrollment ID: I20230306002420 |
Mailing Address | Practice Location Address |
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Connecticut Vision Center, Llc 64 Thompson St Ste B104, East Haven, CT 06513-5701 Ph: (203) 469-1012 | Connecticut Vision Center, Llc 64 Thompson St, Suite B104, East Haven, CT 06513-5707 Ph: (203) 469-1012 |
Karlee Muller, OD Optometrist Medicare: Medicare Enrolled Practice Location: 64 Thompson St Ste B104, East Haven, CT 06513 Phone: 203-469-1012 | |
Dr. Maria I Diaz, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 64 Thompson St, Suite B104, East Haven, CT 06513 Phone: 203-469-1012 Fax: 203-467-1369 | |
Marc Denigris X, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 135 Saltonstall Pkwy, East Haven, CT 06512 Phone: 203-467-6112 Fax: 203-469-6424 | |
Lindsay Lelas, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 64 Thompson St Ste B104, East Haven, CT 06513 Phone: 203-469-1012 | |
East Haven Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 135 Saltonstall Pkwy, East Haven, CT 06512 Phone: 203-265-7990 Fax: 203-265-7998 |