| Wild Apple Eye Iii Llc | |
|
34 Main St, Hebron, CT 06248-1515 | |
| (860) 228-2020 | |
| Not Available |
| Full Name | Wild Apple Eye Iii Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 34 Main St, Hebron, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346900412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Thomas A Dempsey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760405542 PECOS PAC ID: 3173576170 Enrollment ID: I20060302000439 |
| Provider Name | Alexandra Sadanowicz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427308105 PECOS PAC ID: 0547490658 Enrollment ID: I20140311000012 |
| Provider Name | Nicholas Anthony Paradis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093243321 PECOS PAC ID: 1951670884 Enrollment ID: I20170707001767 |
| Provider Name | Nicholas P Vezzoli |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194249722 PECOS PAC ID: 8123359643 Enrollment ID: I20191015002551 |
| Provider Name | Zachary Mackay Tlumak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881257004 PECOS PAC ID: 5092132860 Enrollment ID: I20200826000571 |
| Provider Name | Natalia Pisklak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033730064 PECOS PAC ID: 2860891959 Enrollment ID: I20210521001119 |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Apple Eye Iii Llc 34 Main St, Hebron, CT 06248-1515 Ph: (860) 228-2020 | Wild Apple Eye Iii Llc 34 Main St, Hebron, CT 06248-1515 Ph: (860) 228-2020 |
Hebron Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21 Liberty Drive, Unit A, Hebron, CT 06248 Phone: 860-228-2020 |