Provider Demographics
NPI:1407490055
Name:OCULUSDOCS, LLC
Entity Type:Organization
Organization Name:OCULUSDOCS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:860-916-4753
Mailing Address - Street 1:221 ADDISON RD STE 105
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-5608
Mailing Address - Country:US
Mailing Address - Phone:860-838-3838
Mailing Address - Fax:860-838-3840
Practice Address - Street 1:221 ADDISON RD STE 105
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-5608
Practice Address - Country:US
Practice Address - Phone:860-838-3838
Practice Address - Fax:860-838-3840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-06
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty