Provider Demographics
NPI:1740640689
Name:CARRANO, MICHAEL (LO)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:CARRANO
Suffix:
Gender:M
Credentials:LO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 BOSTON POST ROAD
Mailing Address - Street 2:SUITE 10A
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2606
Mailing Address - Country:US
Mailing Address - Phone:203-458-1900
Mailing Address - Fax:
Practice Address - Street 1:1013 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2606
Practice Address - Country:US
Practice Address - Phone:203-458-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-04
Last Update Date:2017-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1720156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician