Provider Demographics
NPI:1205815511
Name:RAYHER, MICHAEL GERARD (OD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:GERARD
Last Name:RAYHER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3487
Mailing Address - Country:US
Mailing Address - Phone:203-874-7435
Mailing Address - Fax:203-874-7435
Practice Address - Street 1:50 CHERRY ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3487
Practice Address - Country:US
Practice Address - Phone:203-874-7435
Practice Address - Fax:203-874-7435
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-13
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2103152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP734775OtherOXFORD
CT090002103CT01OtherBLUE CROSS BLUE SHIELD
CT760160OtherCONNECTICARE
CT901728OtherBLOCK
CTOV0423OtherHEALTH NET
CT111107OtherEYE MED
CT090002103CT01OtherBLUE CROSS BLUE SHIELD
CT111107OtherEYE MED
CTP734775OtherOXFORD