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General NPI Number Information
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NPI Number | 1912011487
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Entity Type | Individual
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Provider Name | RAYMOND THOMAS SZCZEPANSKI O. D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 185 BOSTON POST RD
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City | ORANGE
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State | CT
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Zip | 06477-3200
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Country | US
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Telephone | 203-795-5000
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Fax | 203-795-6685
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Provider Business Mailing Address
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Address Line | PO BOX 771
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City | ORANGE
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State | CT
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Zip | 06477-0771
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Country | US
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Telephone | 203-795-5000
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Fax | 203-795-6685
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0937
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License Number State | CT
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