Provider Demographics
NPI:1912295924
Name:SEARS, MARVIN LLOYD
Entity Type:Individual
Prefix:DR
First Name:MARVIN
Middle Name:LLOYD
Last Name:SEARS
Suffix:
Gender:M
Credentials:
Other - Prefix:PROF
Other - First Name:MARVIN
Other - Middle Name:LLOYD
Other - Last Name:SEARS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:952 POND MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06498-1429
Mailing Address - Country:US
Mailing Address - Phone:860-399-6209
Mailing Address - Fax:860-399-6209
Practice Address - Street 1:952 POND MEADOW RD
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:CT
Practice Address - Zip Code:06498-1429
Practice Address - Country:US
Practice Address - Phone:860-399-6209
Practice Address - Fax:860-399-6209
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT010481207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology