Active NPIIndividual provider

Kimberly Raucci, OD

Optometrist in Stratford, Connecticut

NPI Number1578030458
Practice location
775 Main St, Stratford, CT 06615-7406
Fax
—
Last updated
October 29, 2018

Kimberly Raucci is an Optometrist based in Stratford, CT. Kimberly Raucci practices in Stratford, CT and has the professional credentials of OD. The NPI Number for Kimberly Raucci is 1578030458 and holds a License No. 3090 (CT). The current practice location address for Kimberly Raucci is 775 Main St, Stratford, CT 06615-7406 and can be reached out via phone at 203-377-2020.

Provider Profile Details

NPI Number
1578030458
Provider Name
Kimberly Raucci
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
775 Main St, Stratford, CT 06615-7406
Phone Number
203-377-2020
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
October 29, 2018
Last Update Date
October 29, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
775 Main St
Stratford, CT 06615-7406
Zip
06615-7406
Phone Number
203-377-2020
Stratford, CT 06615Get directions →

Provider Business Mailing Address Details

Address
114 Corona Dr
Milford, CT 06460-3514
City
Milford
State
CT
Zip
06460-3514
Phone Number
203-606-6062

License Information

License Number
3090
License State
CT
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Kimberly Raucci, OD?

The NPI number of Kimberly Raucci, OD is 1578030458. It was assigned on October 29, 2018 and is currently active in the NPPES registry.

What is the specialty of Kimberly Raucci, OD?

Kimberly Raucci, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 3090.

Where does Kimberly Raucci, OD practice?

The practice location is 775 Main St, Stratford, CT 06615-7406. The office can be reached at 203-377-2020 (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 1578030458 directly on the NPPES registry website.

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