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General NPI Number Information
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NPI Number | 1306746128
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Entity Type | Organization
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Legal Business Name | OPHTHALMIC CONSULTANTS OF CONNECTICUT PC
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 317 FOXON RD STE 3
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City | EAST HAVEN
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State | CT
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Zip | 06513-2038
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Country | US
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Telephone | 203-484-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 825 E GATE BLVD STE 111
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City | GARDEN CITY
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State | NY
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Zip | 11530-2136
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RCM MANAGER
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Name | NARDA GORDON
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Credential |
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Telephone | 917-373-7209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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