MEDICARE: EYE DOCTORS OPTOMETRISTS PLLC

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	152W00000X	Optometrist		CT

General Provider Information

NPI Number	:	1770654584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE DOCTORS OPTOMETRISTS PLLC

Provider Business Mailing Address
First Line	:	1156 BOSTON POST RD
Second Line	:
City	:	OLD SAYBROOK
State	:	CT
Zip	:	06475-4405
Country	:	US
Telephone Number	:	860-388-2020
Fax Number	:	860-388-0889

Provider Business Practice Location Address
First Line	:	1156 BOSTON POST RD
Second Line	:
City	:	OLD SAYBROOK
State	:	CT
Zip	:	06475-4405
Country	:	US
Telephone Number	:	860-388-2020
Fax Number	:	860-388-0889

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MONYA ELGART
Credential	:	O.D.
Telephone Number	:	860-388-2020

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	04/06/2026

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