Provider Demographics
NPI:1770532392
Name:LOVELAND, NANCY P (OD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:P
Last Name:LOVELAND
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 1:6 SCOTT LN
Mailing Address - Street 2:
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-1235
Mailing Address - Country:US
Mailing Address - Phone:860-632-8270
Mailing Address - Fax:
Practice Address - Street 1:28 SHUNPIKE RD
Practice Address - Street 2:SUITE #2
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416-2454
Practice Address - Country:US
Practice Address - Phone:860-635-3300
Practice Address - Fax:869-635-3323
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002273152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist