Provider Demographics
NPI:1134734171
Name:RUKHA EYE CARE, LLC
Entity type:Organization
Organization Name:RUKHA EYE CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAVEL-RUKHA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:860-893-7016
Mailing Address - Street 1:405 HARTFORD RD
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053-1507
Mailing Address - Country:US
Mailing Address - Phone:860-893-7016
Mailing Address - Fax:860-893-7017
Practice Address - Street 1:405 HARTFORD RD
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06053-1507
Practice Address - Country:US
Practice Address - Phone:413-459-5956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2021-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service