Provider Demographics
NPI:1447400882
Name:NASON, RICHARD J (OD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:NASON
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 1:14 HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-3514
Mailing Address - Country:US
Mailing Address - Phone:203-141-1610
Mailing Address - Fax:
Practice Address - Street 1:161 BERLIN RD
Practice Address - Street 2:VISION CENTER
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416-1021
Practice Address - Country:US
Practice Address - Phone:860-635-5801
Practice Address - Fax:860-635-6165
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002707152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist