MEDICARE: RUKHA EYE CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1134734171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUKHA EYE CARE, LLC

Provider Business Mailing Address
First Line	:	405 HARTFORD RD
Second Line	:
City	:	NEW BRITAIN
State	:	CT
Zip	:	06053-1507
Country	:	US
Telephone Number	:	860-893-7016
Fax Number	:	860-893-7017

Provider Business Practice Location Address
First Line	:	405 HARTFORD RD
Second Line	:
City	:	NEW BRITAIN
State	:	CT
Zip	:	06053-1507
Country	:	US
Telephone Number	:	413-459-5956
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. ANGELINA GAVEL-RUKHA
Credential	:	OD
Telephone Number	:	860-893-7016

Provider Enumeration Date	:	09/15/2020
Last Update Date	:	06/06/2021

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Directions to “RUKHA EYE CARE, LLC ” Practice Location

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