Provider Demographics
NPI:1164567921
Name:CALIOLO, LINDA (OD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:CALIOLO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 N COLONY RD
Mailing Address - Street 2:SUITE I
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-2471
Mailing Address - Country:US
Mailing Address - Phone:203-265-4362
Mailing Address - Fax:203-265-0415
Practice Address - Street 1:930 N COLONY RD
Practice Address - Street 2:SUITE I
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-2471
Practice Address - Country:US
Practice Address - Phone:203-265-4362
Practice Address - Fax:203-265-0415
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2262152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist