Provider Demographics
NPI:1629713466
Name:KORAB SPAHIU, OD, LLC
Entity Type:Organization
Organization Name:KORAB SPAHIU, OD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:KORAB
Authorized Official - Middle Name:
Authorized Official - Last Name:SPAHIU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:203-558-4038
Mailing Address - Street 1:277 WHITE ST
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6934
Mailing Address - Country:US
Mailing Address - Phone:203-748-7393
Mailing Address - Fax:
Practice Address - Street 1:277 WHITE ST
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6934
Practice Address - Country:US
Practice Address - Phone:203-748-7393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty