Dr. Jason E Cavanaugh, OD
Optometrist in Lisbon, Connecticut
1124183660- Practice location
- 180 River RD, Lisbon, CT 06351
- Phone
- 860-376-8431
- Fax
- 860-376-8851
- Last updated
- July 8, 2007
Jason Edward Cavanaugh is an Optometrist based in Lisbon, CT. Jason Edward Cavanaugh practices in Lisbon, CT and has the professional credentials of OD. The NPI Number for Jason Edward Cavanaugh is 1124183660 and holds a License No. CT2520 (CT). The current practice location address for Jason Edward Cavanaugh is 180 River RD, Lisbon, CT 06351 and can be reached out via phone at 860-376-8431 and via fax at 860-376-8851.
Provider Profile Details
- NPI Number
- 1124183660
- Provider Name
- Jason Edward Cavanaugh
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 180 River RD, Lisbon, CT 06351
- Phone Number
- 860-376-8431
- Fax Number
- 860-376-8851
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 26, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 180 River RD
Lisbon, CT 06351 - City
- Lisbon
- State
- Connecticut
- Zip
- 06351
- Phone Number
- 860-376-8431
- Fax Number
- 860-376-8851
Provider Business Mailing Address Details
- Address
- 87 Dickinson RD
S Glastonbury, CT 06073 - City
- S Glastonbury
- State
- CT
- Zip
- 06073
- Phone Number
- 860-376-8431
- Fax Number
- 860-376-8851
License Information
- License Number
- CT2520
- License State
- CT
- Taxonomy
- 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. Jason E Cavanaugh, OD?
The NPI number of Dr. Jason E Cavanaugh, OD is 1124183660. It was assigned on December 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jason E Cavanaugh, OD?
Dr. Jason E Cavanaugh, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number CT2520.
Where does Dr. Jason E Cavanaugh, OD practice?
The practice location is 180 River RD, Lisbon, CT 06351. The office can be reached at 860-376-8431 (phone) or 860-376-8851 (fax).
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 1124183660 directly on the NPPES registry website.