Villacis Eyecare Iv, LLC

NPI #1962170035 in Farmington, Connecticut

Provider Information

NPI Number: 1962170035
Entity Type: Organization
Organization Name: Villacis Eyecare Iv, LLC
Primary Specialty: Optometrist
Enumeration Date: Sep 2, 2021
Last Updated: Oct 14, 2021

Practice Location

Address: 20 WATERSIDE DR STE 102
City: Farmington
State: Connecticut
ZIP Code: 06032-3090
Phone: (860) 674-0307

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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