Healthcare Provider Details

I. General information

NPI: 1801690680
Provider Name (Legal Business Name): REFOCUS EYE HEALTH OF CONNECTICUT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 DAY HILL RD STE 301
WINDSOR CT
06095-5724
US

IV. Provider business mailing address

87 GRANDVIEW AVE STE B
WATERBURY CT
06708-2514
US

V. Phone/Fax

Practice location:
  • Phone: 860-386-8970
  • Fax:
Mailing address:
  • Phone: 203-574-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY RINKOV
Title or Position: CEO/ AUTHORIZED OFFICAL
Credential:
Phone: 203-574-2020