Conrod, Thomas R

Conrod, Thomas R is an individual health care provider with primary practice located at 2300 Dixwell Ave , Hamden CT 06514-2108. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Conrod, Thomas R can be contacted via phone (203) 248-3937.

Contact Information

Primary practice address
2300 Dixwell Ave Hamden CT 06514-2108
Phone: (203) 248-3937
Fax: (203) 288-5679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002315 Connecticut

Profile Details

NPI number 1871621193
LBN Legal business name Conrod, Thomas R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jun 3rd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871621193 NPPES
Connecticut Other 2301 HEALTHNET ID
Connecticut Other 001888867001 HEALTHNET ID
Connecticut Other 102315 HEALTHNET ID
Connecticut Other 0614004920005 HEALTHNET ID
Connecticut Other 090002315CT HEALTHNET ID
Connecticut Other P605594 HEALTHNET ID

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