Healthcare Provider Details

I. General information

NPI: 1679727218
Provider Name (Legal Business Name): CENTER FOR VISION CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2008
Last Update Date: 12/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 MONROE TPKE A-3
MONROE CT
06468-2382
US

IV. Provider business mailing address

535 MONROE TURNPIKE A-3
MONROE CT
06468
US

V. Phone/Fax

Practice location:
  • Phone: 203-268-7799
  • Fax: 203-261-3723
Mailing address:
  • Phone: 203-268-7799
  • Fax: 203-261-3723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. DENNIS PAUL IADAROLA
Title or Position: OWNER/ OPTOMETRIST
Credential: O.D
Phone: 203-268-7799