Provider Demographics
NPI:1891195830
Name:NIGRELLI, GREGORY JAMES (OD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:JAMES
Last Name:NIGRELLI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1041 POQUONNOCK RD
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-4211
Mailing Address - Country:US
Mailing Address - Phone:860-445-1000
Mailing Address - Fax:860-445-4991
Practice Address - Street 1:29 BUCKLAND ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-1601
Practice Address - Country:US
Practice Address - Phone:860-646-6655
Practice Address - Fax:860-647-7872
Is Sole Proprietor?:No
Enumeration Date:2014-08-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002923152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist