Provider Demographics
NPI:1689868291
Name:GUZIK, LAUREN BRIANA (OD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:BRIANA
Last Name:GUZIK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 WELLES ST
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-2047
Mailing Address - Country:US
Mailing Address - Phone:860-633-1401
Mailing Address - Fax:860-432-4510
Practice Address - Street 1:33 WELLES ST
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-2047
Practice Address - Country:US
Practice Address - Phone:860-633-1401
Practice Address - Fax:860-633-1401
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2701152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008048421Medicaid
11785058OtherCAQH IDN
CT270100OtherCONNECTICARE
CT090002701CTOtherANTHEM BCBS OF CT