| Wild Apple Eye Llc | |
|
90 Main St Ste 101, Centerbrook, CT 06409-1057 | |
| (860) 767-3206 | |
| Not Available |
| Full Name | Wild Apple Eye Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 90 Main St Ste 101, Centerbrook, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104465939 | NPI | - | NPPES |
| 8073265 | Medicaid | CT | |
| A31568 | Other | CT | EYEMED |
| 139866 | Other | CT | CTCARE |
| 4002760 | Other | CT | CIGNA |
| P5740240 | Other | CT | OXFORD |
| 12002152 | Other | CT | HARVARD PILGRIM |
| 1473930 | Other | WELLCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Nicholas Anthony Paradis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093243321 PECOS PAC ID: 1951670884 Enrollment ID: I20170707001767 |
| Provider Name | Zachary Mackay Tlumak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881257004 PECOS PAC ID: 5092132860 Enrollment ID: I20200826000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Apple Eye Llc 54 Bokum Rd, Old Saybrook, CT 06475-1207 Ph: (860) 391-3366 | Wild Apple Eye Llc 90 Main St Ste 101, Centerbrook, CT 06409-1057 Ph: (860) 767-3206 |
Dr. Shirley M Curioso, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 90 Main St, Suite 101, Centerbrook, CT 06409 Phone: 860-767-3206 | |
Nicholas Anthony Paradis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 90 Main St, Ste 101, Centerbrook, CT 06409 Phone: 860-767-3206 Fax: 860-767-0836 |