Active NPIOrganization

Optometric Specialty Group Of Wethersfield, PLLC

Optometrist in Wethersfield, Connecticut

NPI Number1629561428
Practice location
185 Silas Deane Hwy, Wethersfield, CT 06109-1219
Fax
—
Last updated
June 7, 2018

Optometric Specialty Group Of Wethersfield, PLLC is a healthcare organization based in Wethersfield, CT. Optometric Specialty Group Of Wethersfield, PLLC practices in Wethersfield, CT. The NPI Number for Optometric Specialty Group Of Wethersfield, PLLC is 1629561428. The current practice location address for Optometric Specialty Group Of Wethersfield, PLLC is 185 Silas Deane Hwy, Wethersfield, CT 06109-1219 and can be reached out via phone at 860-296-1700.

Provider Profile Details

NPI Number
1629561428
Provider Name
Optometric Specialty Group Of Wethersfield, PLLC
Provider Entity Type
Organization
Address
185 Silas Deane Hwy, Wethersfield, CT 06109-1219
Phone Number
860-296-1700
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Parent Organization
Optometric Specialty Group Limited Liability Company
Authorized Official
Dr. Peter Pegolo, OD · Doctor · 860-236-1218
Provider Enumeration Date
June 7, 2018
Last Update Date
June 7, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 Silas Deane Hwy
Wethersfield, CT 06109-1219
Zip
06109-1219
Phone Number
860-296-1700
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
612 Quaker Ln S Ste B
West Hartford, CT 06110-1027
City
West Hartford
State
CT
Zip
06110-1027
Phone Number
860-236-1218
Fax Number
860-231-9298

License Information

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 Optometric Specialty Group Of Wethersfield, PLLC?

The NPI number of Optometric Specialty Group Of Wethersfield, PLLC is 1629561428. It was assigned on June 7, 2018 and is currently active in the NPPES registry.

What is the specialty of Optometric Specialty Group Of Wethersfield, PLLC?

Optometric Specialty Group Of Wethersfield, PLLC is registered under the primary taxonomy Optometrist (code 152W00000X).

Where does Optometric Specialty Group Of Wethersfield, PLLC practice?

The practice location is 185 Silas Deane Hwy, Wethersfield, CT 06109-1219. The office can be reached at 860-296-1700 (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 1629561428 directly on the NPPES registry website.

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