Provider Demographics
NPI:1578842662
Name:CATARACT AND CORNEA EYE SPECIALISTS, LLC
Entity Type:Organization
Organization Name:CATARACT AND CORNEA EYE SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-443-3250
Mailing Address - Street 1:914 HARTFORD TPKE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WATERFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06385-4263
Mailing Address - Country:US
Mailing Address - Phone:860-443-3250
Mailing Address - Fax:860-437-8362
Practice Address - Street 1:914 HARTFORD TPKE
Practice Address - Street 2:SUITE 203
Practice Address - City:WATERFORD
Practice Address - State:CT
Practice Address - Zip Code:06385-4263
Practice Address - Country:US
Practice Address - Phone:860-443-3250
Practice Address - Fax:860-437-8362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-08
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT049769174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty