Healthcare Provider Details

I. General information

NPI: 1942721733
Provider Name (Legal Business Name): NEW INSIGHT FAMILY EYE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 W MAIN ST
WATERBURY CT
06708-3119
US

IV. Provider business mailing address

1320 W MAIN ST
WATERBURY CT
06708-3119
US

V. Phone/Fax

Practice location:
  • Phone: 203-755-4941
  • Fax: 203-573-8372
Mailing address:
  • Phone: 203-755-4941
  • Fax: 203-573-8372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number000896
License Number StateCT

VIII. Authorized Official

Name: DR. ALBERT E GERMAIN
Title or Position: OWNER/DOCTOR
Credential: OD
Phone: 203-755-4941