| Eyecare Center Of Waterbury Llc | |
|
625 Wolcott St, Waterbury, CT 06705-1342 | |
| (203) 754-8339 | |
| Not Available |
| Full Name | Eyecare Center Of Waterbury Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 625 Wolcott St, Waterbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144369588 | NPI | - | NPPES |
| 0043160 | Other | CT | AETNA |
| 115526 | Other | EYEMED | |
| 762224 | Other | CONNECTICARE | |
| OV8953 | Other | HEALTHNET | |
| P379072 | Other | OXFORD | |
| 090000910CT01 | Other | CT | BLUE CROSS |
| 004257673 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 000910 (Connecticut) | Primary |
| 335E00000X | Prosthetic/orthotic Supplier | 000910 (Connecticut) | Secondary |
| Provider Name | John J Pulaski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104930619 PECOS PAC ID: 3375581416 Enrollment ID: I20050420000333 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecare Center Of Waterbury Llc 625 Wolcott St, Waterbury, CT 06705-1342 Ph: (203) 754-8339 | Eyecare Center Of Waterbury Llc 625 Wolcott St, Waterbury, CT 06705-1342 Ph: (203) 754-8339 |
Dr. Dana Lynn Shepard, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3600 E Main St, Waterbury, CT 06705 Phone: 203-596-0406 | |
Dana L Shepard Od & Associates Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3600 E Main St, Waterbury, CT 06705 Phone: 203-596-0406 | |
Dr Binh Moore And Associates Llc Optometrist Medicare: Medicare Enrolled Practice Location: 425 Union St, Waterbury, CT 06706 Phone: 203-757-7120 | |
Dr. Audrey S Fung, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3600 E Main St, Waterbury, CT 06705 Phone: 203-596-0406 Fax: 203-756-7316 | |
Jennie Leonard, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1320 W Main St Ste 3, Waterbury, CT 06708 Phone: 203-755-4941 | |
Dr. John Joseph Pulaski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 625 Wolcott St, Waterbury, CT 06705 Phone: 203-754-8339 Fax: 203-753-9030 | |
Dr. Frank Restivo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 495 Union St Ste 1082, Waterbury, CT 06706 Phone: 203-591-8353 |