| |
69 Sand Pit Rd, Suite 100, Danbury, CT 06810-4004 | |
(203) 792-0090 | |
(203) 778-6238 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 69 Sand Pit Rd, Danbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891902037 | NPI | - | NPPES |
4001327 | Medicaid | CT | |
4197514 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2050391000 (Connecticut) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
69 Sand Pit Rd, Suite 100, Danbury, CT 06810-4004 Ph: (203) 792-0090 | 69 Sand Pit Rd, Suite 100, Danbury, CT 06810-4004 Ph: (203) 792-0090 |