| Robert R Palozej Od, Llc | |
|
19 Pinney St, Ellington, CT 06029-3812 | |
| (860) 875-7336 | |
| (860) 870-4707 |
| Full Name | Robert R Palozej Od, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 19 Pinney St, Ellington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750551552 | NPI | - | NPPES |
| 410001006 | Other | CT | GROUP MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 929 (Connecticut) | Primary |
| Provider Name | Robert Ray Palozej |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477513851 PECOS PAC ID: 0840479309 Enrollment ID: I20110131000005 |
| Provider Name | Matthew Lanz Palozej |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861914681 PECOS PAC ID: 1456612118 Enrollment ID: I20180221001878 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert R Palozej Od, Llc Po Box 351, Ellington, CT 06029-0351 Ph: (860) 875-7336 | Robert R Palozej Od, Llc 19 Pinney St, Ellington, CT 06029-3812 Ph: (860) 875-7336 |
Dr. Robert R Palozej, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 19 Pinney St, Ellington, CT 06029 Phone: 860-875-7336 Fax: 860-870-4707 | |
Dr. Matthew Lanz Palozej, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 19 Pinney St, Ellington, CT 06029 Phone: 860-875-7336 |