Organization Name: | KILLINGLY EYE CARE P.C. |
NPI Number: | 1255439188 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES L BOCCUZZI (PRESIDENT) |
Mailing Address: | 25 Green Hollow Rd Danielson |
State: | CT US |
Postal Code: | 062393509 |
Phone Number: | 8607791588 |
Fax Number: | 8607791754 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 10/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 864 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |