Provider Demographics
NPI:1831324102
Name:SIMPSON, CARIN CAPPELLO (LO)
Entity Type:Individual
Prefix:MRS
First Name:CARIN
Middle Name:CAPPELLO
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:LO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ROBERTA RD
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-1939
Mailing Address - Country:US
Mailing Address - Phone:203-234-9599
Mailing Address - Fax:
Practice Address - Street 1:120 COMMERCIAL PKWY
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-2537
Practice Address - Country:US
Practice Address - Phone:203-483-1876
Practice Address - Fax:203-488-3560
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001452156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician