Dr. Micaela R Gobeille, OD
Optometrist in Colchester, Connecticut
1033602230- Practice location
- 163 Broadway St, Colchester, CT 06415-1022
- Phone
- 860-537-2020
- Fax
- —
- Last updated
- October 20, 2022
Micaela Rae Gobeille is an Optometrist based in Colchester, CT. Micaela Rae Gobeille practices in Colchester, CT and has the professional credentials of OD. The NPI Number for Micaela Rae Gobeille is 1033602230 and holds a License No. 5455 (MA). The current practice location address for Micaela Rae Gobeille is 163 Broadway St, Colchester, CT 06415-1022 and can be reached out via phone at 860-537-2020.
Provider Profile Details
- NPI Number
- 1033602230
- Provider Name
- Micaela Rae Gobeille
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 163 Broadway St, Colchester, CT 06415-1022
- Phone Number
- 860-537-2020
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 12, 2018
- Last Update Date
- October 20, 2022
- Certification Date
- June 22, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 163 Broadway St
Colchester, CT 06415-1022 - City
- Colchester
- State
- Connecticut
- Zip
- 06415-1022
- Phone Number
- 860-537-2020
Provider Business Mailing Address Details
- Address
- 16 Linwood RD
Cumberland, RI 02864-5207 - City
- Cumberland
- State
- RI
- Zip
- 02864-5207
- Phone Number
- 401-714-2574
License Information
- License Number (1)
- 5455
- License State (1)
- MA
- Taxonomy (1)
- Optometrist · 152W00000X
- License Number (2)
- 3151
- License State (2)
- CT
- Taxonomy (2)
- Optometrist, Low Vision Rehabilitation · 152WL0500X
- License Number (3)
- PENDING
- License State (3)
- NY
- Taxonomy (3)
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Micaela R Gobeille, OD?
The NPI number of Dr. Micaela R Gobeille, OD is 1033602230. It was assigned on June 12, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Micaela R Gobeille, OD?
Dr. Micaela R Gobeille, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 5455.
Where does Dr. Micaela R Gobeille, OD practice?
The practice location is 163 Broadway St, Colchester, CT 06415-1022. The office can be reached at 860-537-2020 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033602230 directly on the NPPES registry website.