| Kathryn Brogan, OD | |
|
2379 Black Rock Tpke, Fairfield, CT 06825-3229 | |
| (203) 333-5590 | |
| (203) 333-6722 |
| Full Name | Kathryn Brogan |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 8 Years |
| Location | 2379 Black Rock Tpke, Fairfield, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447747928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3074 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cornell Scott Hill Health Corporation | 3072418359 | 261 |
| Provider Name | Cornell Scott Hill Health Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902921380 PECOS PAC ID: 3072418359 Enrollment ID: O20031201000145 |
| Provider Name | Sostilio Eye Care LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699410803 PECOS PAC ID: 4183008832 Enrollment ID: O20220830003848 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Brogan, OD 2379 Black Rock Tpke, Fairfield, CT 06825-3229 Ph: (203) 333-5590 | Kathryn Brogan, OD 2379 Black Rock Tpke, Fairfield, CT 06825-3229 Ph: (203) 333-5590 |
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