MEDICARE: DR. JULIET ALICIA PLUCINIK OD

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	3300	CT

General Provider Information

NPI Number	:	1912685538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIET ALICIA PLUCINIK OD

Provider Business Mailing Address
First Line	:	86 WHITE OAK AVE
Second Line	:
City	:	PLAINVILLE
State	:	CT
Zip	:	06062-2528
Country	:	US
Telephone Number	:	860-302-8478
Fax Number	:

Provider Business Practice Location Address
First Line	:	780 KING ST
Second Line	:
City	:	BRISTOL
State	:	CT
Zip	:	06010-9207
Country	:	US
Telephone Number	:	860-584-5528
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2023
Last Update Date	:	02/26/2026

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