Provider Demographics
NPI:1639188584
Name:SIRIGNANO, ERICK B (OD)
Entity Type:Individual
Prefix:DR
First Name:ERICK
Middle Name:B
Last Name:SIRIGNANO
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 1:373 MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-5050
Mailing Address - Country:US
Mailing Address - Phone:860-842-4439
Mailing Address - Fax:
Practice Address - Street 1:373 MAIN ST.
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-5050
Practice Address - Country:US
Practice Address - Phone:860-842-4439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002694152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist