MEDICARE: DR ANTWI EYECARE 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	261QP2300X	Primary Care Clinic/Center	002871	CT
2	152W00000X	Optometrist

General Provider Information

NPI Number	:	1346686482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR ANTWI EYECARE LLC

Provider Business Mailing Address
First Line	:	262 PARK RD
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06119-2018
Country	:	US
Telephone Number	:	860-206-8818
Fax Number	:	860-206-4876

Provider Business Practice Location Address
First Line	:	262 PARK RD
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06119-2018
Country	:	US
Telephone Number	:	860-206-8818
Fax Number	:	860-206-4876

Authorized Official
Title or Position	:	AO
Name	:	AFUA WIREKOA ANTWI
Credential	:	OD
Telephone Number	:	860-206-8818

Provider Enumeration Date	:	05/15/2013
Last Update Date	:	03/28/2025

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