Dr. Frederick A Moffa, OD
Optometrist in Granby, Connecticut
1679509509- Practice location
- 355 Salmon Brook St, Granby, CT 06035-1804
- Phone
- 860-653-7440
- Fax
- —
- Last updated
- March 17, 2022
Frederick Allen Moffa is an Optometrist based in Granby, CT. Frederick Allen Moffa practices in Granby, CT and has the professional credentials of OD. The NPI Number for Frederick Allen Moffa is 1679509509 and holds a License No. 2388 (CT). The current practice location address for Frederick Allen Moffa is 355 Salmon Brook St, Granby, CT 06035-1804 and can be reached out via phone at 860-653-7440.
Provider Profile Details
- NPI Number
- 1679509509
- Provider Name
- Frederick Allen Moffa
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 355 Salmon Brook St, Granby, CT 06035-1804
- Phone Number
- 860-653-7440
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 23, 2006
- Last Update Date
- March 17, 2022
- Certification Date
- March 17, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 355 Salmon Brook St
Granby, CT 06035-1804 - City
- Granby
- State
- Connecticut
- Zip
- 06035-1804
- Phone Number
- 860-653-7440
Provider Business Mailing Address Details
- Address
- 20 Copper Hill RD
Granby, CT 06035-1524 - City
- Granby
- State
- CT
- Zip
- 06035-1524
- Phone Number
- 860-653-7440
- Fax Number
- 860-653-7469
License Information
- License Number
- 2388
- 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. | |||
Other Optometrists near Granby, CT
View all Optometrists in Granby →Frequently Asked Questions
What is the NPI number of Dr. Frederick A Moffa, OD?
The NPI number of Dr. Frederick A Moffa, OD is 1679509509. It was assigned on June 23, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Frederick A Moffa, OD?
Dr. Frederick A Moffa, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 2388.
Where does Dr. Frederick A Moffa, OD practice?
The practice location is 355 Salmon Brook St, Granby, CT 06035-1804. The office can be reached at 860-653-7440 (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 1679509509 directly on the NPPES registry website.