| Ocularprime | |
|
55 Walls Dr Ste 205, Fairfield, CT 06824-5163 | |
| (203) 292-8101 | |
| Not Available |
| Full Name | Ocularprime |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 55 Walls Dr Ste 205, Fairfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306519012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kathryn Brogan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447747928 PECOS PAC ID: 3678908902 Enrollment ID: I20200115000904 |
| Mailing Address | Practice Location Address |
|---|---|
| Ocularprime 55 Walls Dr Ste 205, Fairfield, CT 06824-5163 Ph: () - | Ocularprime 55 Walls Dr Ste 205, Fairfield, CT 06824-5163 Ph: (203) 292-8101 |
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