Richard Paul Squires, OD | |
344 Greenwich Ave, Greenwich, CT 06830-6522 | |
(475) 275-9684 | |
Not Available |
Full Name | Richard Paul Squires |
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Gender | Male |
Speciality | Optometrist |
Location | 344 Greenwich Ave, Greenwich, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710661806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3296 (Connecticut) | Primary |
Provider Name | Gold Coast Eye Associates, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891124616 PECOS PAC ID: 4587019724 Enrollment ID: O20231009001850 |
Mailing Address | Practice Location Address |
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Richard Paul Squires, OD 401 Commons Park S Unit 669, Stamford, CT 06902-7140 Ph: (203) 722-5241 | Richard Paul Squires, OD 344 Greenwich Ave, Greenwich, CT 06830-6522 Ph: (475) 275-9684 |
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