Provider Demographics
NPI:1881805208
Name:DR.AUCELLO & ASSOCIATES, P.C.
Entity type:Organization
Organization Name:DR.AUCELLO & ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AUCELLO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:860-594-4585
Mailing Address - Street 1:470 LEWIS AVE STE 39
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06451-2103
Mailing Address - Country:US
Mailing Address - Phone:203-237-4280
Mailing Address - Fax:
Practice Address - Street 1:470 LEWIS AVE STE 39
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451-2103
Practice Address - Country:US
Practice Address - Phone:203-237-4280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2192152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C0216Medicare ID - Type Unspecified