| Oec Waterbury Llc | |
|
3528 E Main St, Waterbury, CT 06705-3873 | |
| (203) 377-3934 | |
| Not Available |
| Full Name | Oec Waterbury Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3528 E Main 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 |
|---|---|---|---|
| 1477097285 | NPI | - | NPPES |
| 004160983 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 002346 (Connecticut) | Primary |
| Provider Name | Karen G Bonnanzio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508955873 PECOS PAC ID: 8224046842 Enrollment ID: I20060323000463 |
| Provider Name | Kurt J Tichy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750338414 PECOS PAC ID: 7416969597 Enrollment ID: I20060609000028 |
| Provider Name | Tiffany Nicole Deleon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760969133 PECOS PAC ID: 9133460298 Enrollment ID: I20190418000550 |
| Mailing Address | Practice Location Address |
|---|---|
| Oec Waterbury Llc 7365 Main St, Stratford, CT 06614-1300 Ph: (203) 377-3937 | Oec Waterbury Llc 3528 E Main St, Waterbury, CT 06705-3873 Ph: (203) 377-3934 |
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 |