| Waterbury Eye Associates Llc | |
|
171 N Main St, Waterbury, CT 06702-1405 | |
| (203) 754-8413 | |
| Not Available |
| Full Name | Waterbury Eye Associates Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 171 N 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 |
|---|---|---|---|
| 1750403051 | NPI | - | NPPES |
| 004228608 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 904 (Connecticut) | Primary |
| Provider Name | John Biestek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174524896 PECOS PAC ID: 2365570157 Enrollment ID: I20100515000120 |
| Provider Name | Clinton Mclean |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801995543 PECOS PAC ID: 9739108630 Enrollment ID: I20100812000655 |
| Provider Name | Robert A Buck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821002346 PECOS PAC ID: 8224270673 Enrollment ID: I20130814000333 |
| Mailing Address | Practice Location Address |
|---|---|
| Waterbury Eye Associates Llc 171 N Main St, Waterbury, CT 06702-1405 Ph: (203) 754-8413 | Waterbury Eye Associates Llc 171 N Main St, Waterbury, CT 06702-1405 Ph: (203) 754-8413 |
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 |