Healthcare Provider Details

I. General information

NPI: 1760662183
Provider Name (Legal Business Name): VISUAL PERCEPTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 01/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2162 SILAS DEANE HIGHWAY
ROCKY HILL CT
06067
US

IV. Provider business mailing address

2162 SILAS DEANE HIGHWAY
ROCKY HILL CT
06067
US

V. Phone/Fax

Practice location:
  • Phone: 860-529-9740
  • Fax: 860-563-8483
Mailing address:
  • Phone: 860-529-9740
  • Fax: 860-563-8483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT WAYNE AUBE JR.
Title or Position: OWNER/OPTOMETRIST
Credential: O.D.
Phone: 860-529-9740