Ratchford Eye Center Llc | |
1166 Farmington Ave., Berlin, CT 06037-2302 | |
(860) 829-8939 | |
(860) 829-8938 |
Full Name | Ratchford Eye Center Llc |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1166 Farmington Ave., Berlin, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003995077 | NPI | - | NPPES |
004259158 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | 037297 (Connecticut) | Primary |
207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
Provider Name | Brett W Kjellen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1053338046 PECOS PAC ID: 0840183661 Enrollment ID: I20040205000567 |
Provider Name | Mary Gina Ratchford |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1578688909 PECOS PAC ID: 6002821584 Enrollment ID: I20060222000009 |
Provider Name | Daniel Chin |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1932110418 PECOS PAC ID: 6103825377 Enrollment ID: I20081110000551 |
Provider Name | Susel Oropesa |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1992292791 PECOS PAC ID: 3678821725 Enrollment ID: I20220809002715 |
Mailing Address | Practice Location Address |
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Ratchford Eye Center Llc 1166 Farmington Ave., Berlin, CT 06037-2302 Ph: (860) 829-8939 | Ratchford Eye Center Llc 1166 Farmington Ave., Berlin, CT 06037-2302 Ph: (860) 829-8939 |