Healthcare Provider Details

I. General information

NPI: 1982328670
Provider Name (Legal Business Name): DR. EYEFIT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 09/27/2022
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 CHURCH HILL RD
NEWTOWN CT
06470-1639
US

IV. Provider business mailing address

237 STADLEY ROUGH RD
DANBURY CT
06811-3235
US

V. Phone/Fax

Practice location:
  • Phone: 203-426-5586
  • Fax:
Mailing address:
  • Phone: 347-733-0594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. VLADISLAV KOYFMAN
Title or Position: OPTOMETRIST
Credential: OD
Phone: 203-426-5586