Provider Demographics
NPI:1578979258
Name:CARTWRIGHT, DAVID R (OD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:R
Last Name:CARTWRIGHT
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 1:63 HEBRON AVE STE E
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-2078
Mailing Address - Country:US
Mailing Address - Phone:860-659-5900
Mailing Address - Fax:
Practice Address - Street 1:63 HEBRON AVE STE E
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-2078
Practice Address - Country:US
Practice Address - Phone:860-659-5900
Practice Address - Fax:860-659-9900
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV008156-1152W00000X
CT2964152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist