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NPI Code Detail

MEDICARE: DR. JANICE OCAMPO DOOT O.D.

MEDICARE:  DR. JANICE OCAMPO DOOT  O.D.
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
1152W00000XOptometrist2605CT

General Provider Information

NPI Number : 1144242082
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANICE OCAMPO DOOT O.D.
Provider Business Mailing Address
First Line : 882 MOUNTAIN RD
Second Line :
City : WEST HARTFORD
State : CT
Zip : 06117-1143
Country : US
Telephone Number : 860-523-9998
Fax Number :
Provider Business Practice Location Address
First Line : 110 ALBANY TPKE
Second Line : SUITE 407
City : CANTON
State : CT
Zip : 06019-2547
Country : US
Telephone Number : 860-693-3400
Fax Number : 860-693-3441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JANICE OCAMPO DOOT O.D.” Practice Location

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