Provider Demographics
NPI:1710620364
Name:ANCHOR EYE CENTER LLC
Entity Type:Organization
Organization Name:ANCHOR EYE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:GARRITY
Authorized Official - Last Name:BORTZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:860-202-7199
Mailing Address - Street 1:10 EAST ST STE B
Mailing Address - Street 2:
Mailing Address - City:EAST GRANBY
Mailing Address - State:CT
Mailing Address - Zip Code:06026-1400
Mailing Address - Country:US
Mailing Address - Phone:860-650-0040
Mailing Address - Fax:
Practice Address - Street 1:10 EAST ST STE B
Practice Address - Street 2:
Practice Address - City:EAST GRANBY
Practice Address - State:CT
Practice Address - Zip Code:06026-1400
Practice Address - Country:US
Practice Address - Phone:860-650-0040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty