| Oec Derby Llc | |
|
600 New Haven Ave, Derby, CT 06418-2529 | |
| (203) 732-4916 | |
| (203) 735-4431 |
| Full Name | Oec Derby Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 600 New Haven Ave, Derby, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275287005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Karen G Bonnanzio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508955873 PECOS PAC ID: 8224046842 Enrollment ID: I20060323000463 |
| Provider Name | Kurt J Tichy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750338414 PECOS PAC ID: 7416969597 Enrollment ID: I20060609000028 |
| Provider Name | Tiffany Nicole Deleon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760969133 PECOS PAC ID: 9133460298 Enrollment ID: I20190418000550 |
| Provider Name | Vicky Yiannoulis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225534936 PECOS PAC ID: 6709113723 Enrollment ID: I20231023003176 |
| Mailing Address | Practice Location Address |
|---|---|
| Oec Derby Llc 600 New Haven Ave, Derby, CT 06418-2529 Ph: (203) 732-4916 | Oec Derby Llc 600 New Haven Ave, Derby, CT 06418-2529 Ph: (203) 732-4916 |
Dr. Peter J Stein, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 590 New Haven Ave, C/o Pearle Vision, Derby, CT 06418 Phone: 203-732-4916 Fax: 203-735-4431 |