Coherent Eye Care, Llc | |
161 Berlin Rd Cromwell CT 06416-1059 | |
(860) 635-5801 | |
Not Available |
Full Name | Coherent Eye Care, Llc |
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Speciality | Clinic/Center |
Location | 161 Berlin Rd, Cromwell, Connecticut |
Authorized Official Name and Position | Mark Calixte (OPTOMETRIST) |
Authorized Official Contact | 8608817570 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Coherent Eye Care, Llc 47 Rose Hill Rd Portland CT 06480-1253 Ph: () - | Coherent Eye Care, Llc 161 Berlin Rd Cromwell CT 06416-1059 Ph: (860) 635-5801 |
NPI Number | 1972293843 |
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Provider Enumeration Date | 05/12/2023 |
Last Update Date | 05/25/2023 |
Medicare PECOS PAC ID | 1658739040 |
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Medicare Enrollment ID | O20230616000365 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972293843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Mark Calixte |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1407460033 PECOS PAC ID: 1456761311 Enrollment ID: I20201103003127 |
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