Provider Demographics
NPI:1255986022
Name:STOKES, ERICA LINDSAY (OD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:LINDSAY
Last Name:STOKES
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 1:128 DAVID DR
Mailing Address - Street 2:
Mailing Address - City:COVENTRY
Mailing Address - State:CT
Mailing Address - Zip Code:06238-1320
Mailing Address - Country:US
Mailing Address - Phone:860-944-7657
Mailing Address - Fax:
Practice Address - Street 1:401 EVERGREEN WAY UNIT 415
Practice Address - Street 2:
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-6963
Practice Address - Country:US
Practice Address - Phone:860-644-3364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3189152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist