Healthcare Provider Details
I. General information
NPI: 1215865597
Provider Name (Legal Business Name): TRUE SIGHT VISION CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
780 KING ST
BRISTOL CT
06010-9207
US
IV. Provider business mailing address
780 KING ST
BRISTOL CT
06010-9207
US
V. Phone/Fax
- Phone: 860-584-5528
- Fax:
- Phone: 860-584-5528
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JULIET
PLUCINIK-MADORE
Title or Position: MANAGING MEMBER
Credential: OD
Phone: 860-302-8478