Killingly Eye Care P.c. | |
25 Green Hollow Rd, Danielson, CT 06239-3509 | |
(860) 779-1588 | |
(860) 779-1754 |
Full Name | Killingly Eye Care P.c. |
---|---|
Type | Facility |
Speciality | Optometrist - Corneal And Contact Management |
Location | 25 Green Hollow Rd, Danielson, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255439188 | NPI | - | NPPES |
52KILLEYECT01 | Other | CT | BLUE CROSS BLUE SHIELD |
4188258 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | 864 (Connecticut) | Primary |
Provider Name | James L Boccuzzi |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578544532 PECOS PAC ID: 4183528995 Enrollment ID: I20031223000730 |
Provider Name | Gemma S Stirba |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790701878 PECOS PAC ID: 4082619143 Enrollment ID: I20060922000366 |
Provider Name | Aarlan V Aceto |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013064385 PECOS PAC ID: 6800937236 Enrollment ID: I20100107000701 |
Provider Name | Lacy C Birdseye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972872463 PECOS PAC ID: 4981861408 Enrollment ID: I20120210000067 |
Provider Name | Paul Shepherd |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1558648279 PECOS PAC ID: 8628245198 Enrollment ID: I20140703000044 |
Mailing Address | Practice Location Address |
---|---|
Killingly Eye Care P.c. 25 Green Hollow Rd, Danielson, CT 06239-3509 Ph: (860) 779-1588 | Killingly Eye Care P.c. 25 Green Hollow Rd, Danielson, CT 06239-3509 Ph: (860) 779-1588 |
Optometric Associates Of Danielson Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 419 Main St, Danielson, CT 06239 Phone: 860-774-8279 Fax: 860-774-8279 | |
Dr. James L Boccuzzi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 25 Green Hollow Rd, Danielson, CT 06239 Phone: 860-779-1588 Fax: 860-779-1754 | |
Dr. Robert B Macneil, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 25 Green Hollow Rd, Danielson, CT 06239 Phone: 860-779-1588 Fax: 860-779-1754 | |
Dr. Gemma Soliman Stirba, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 25 Green Hollow Rd, Danielson, CT 06239 Phone: 860-779-1588 Fax: 860-779-1754 |