Eye Care Associatel of Fairfield PC

NPI #1174715460 in Southport, Connecticut

Provider Information

NPI Number: 1174715460
Entity Type: Organization
Organization Name: Eye Care Associatel of Fairfield PC
Primary Specialty: Optometrist
Enumeration Date: Aug 10, 2007
Last Updated: Dec 3, 2007

Practice Location

Address: 2600 POST RD
City: Southport
State: Connecticut
ZIP Code: 06890-1258
Phone: (203) 255-4005

Authorized Official

Name: DR. CHARLES L MELLINGER, OD
Title: PRESIDINT
Phone: (203) 255-4005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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