Provider Demographics
NPI:1144242082
Name:DOOT, JANICE OCAMPO (OD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:OCAMPO
Last Name:DOOT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JANICE-IAN
Other - Middle Name:MANALO
Other - Last Name:OCAMPO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:882 MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06117-1143
Mailing Address - Country:US
Mailing Address - Phone:860-523-9998
Mailing Address - Fax:
Practice Address - Street 1:110 ALBANY TPKE
Practice Address - Street 2:SUITE 407
Practice Address - City:CANTON
Practice Address - State:CT
Practice Address - Zip Code:06019-2547
Practice Address - Country:US
Practice Address - Phone:860-693-3400
Practice Address - Fax:860-693-3441
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2605152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist