Provider Demographics
NPI:1720194756
Name:ALUSHI, EDLIRA X (OD)
Entity Type:Individual
Prefix:DR
First Name:EDLIRA
Middle Name:
Last Name:ALUSHI
Suffix:X
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 1:49 FEDERAL RD
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-2505
Mailing Address - Country:US
Mailing Address - Phone:475-289-2000
Mailing Address - Fax:475-289-2051
Practice Address - Street 1:49 FEDERAL RD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-2505
Practice Address - Country:US
Practice Address - Phone:203-740-2040
Practice Address - Fax:203-740-2040
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1248152W00000X
CT2617152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT410001151Medicare PIN
V04727Medicare UPIN