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NPI Code Detail

MEDICARE: NORTH WINDHAM EYE CARE, P.C.

MEDICARE: NORTH WINDHAM EYE CARE, P.C.
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
1152W00000XOptometrist002657CT

General Provider Information

NPI Number : 1427139823
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH WINDHAM EYE CARE, P.C.
Provider Business Mailing Address
First Line : 4 INDUSTRIAL PARK RD
Second Line :
City : NORTH WINDHAM
State : CT
Zip : 06256-1000
Country : US
Telephone Number : 860-456-3699
Fax Number : 860-423-5201
Provider Business Practice Location Address
First Line : 4 INDUSTRIAL PARK DRIVE
Second Line :
City : NORTH WINDHAM
State : CT
Zip : 06256-1000
Country : US
Telephone Number : 860-456-3699
Fax Number : 860-423-5201
Authorized Official
Title or Position : PRESIDENT
Name : DAVID J. HUNYADY
Credential : D.O.
Telephone Number : 860-456-3699
Provider Enumeration Date : 10/18/2006
Last Update Date : 08/22/2020

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Directions to “NORTH WINDHAM EYE CARE, P.C. ” Practice Location

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