Villacis Eyecare Iii, LLC

NPI #1558039685 in Southbury, Connecticut

Provider Information

NPI Number: 1558039685
Entity Type: Organization
Organization Name: Villacis Eyecare Iii, LLC
Primary Specialty: Optometrist
Enumeration Date: Sep 2, 2021
Last Updated: Oct 14, 2021

Practice Location

Address: 1449 OLD WATERBURY RD
Address 2: UNIT 304
City: Southbury
State: Connecticut
ZIP Code: 06488-3926
Phone: (203) 267-2020

Authorized Official

Name: DR. FABIAN CESAR VILLACIS, OD
Title: OWNER
Phone: (203) 887-1265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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