Provider Demographics
NPI:1932591872
Name:VISUAL PERCEPTIONS-ROCKY HILL, LLC
Entity Type:Organization
Organization Name:VISUAL PERCEPTIONS-ROCKY HILL, LLC
Other - Org Name:CATHERINE M. FERENTINI
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FERENTINI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:860-529-9740
Mailing Address - Street 1:2162 SILAS DEANE HWY
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-2357
Mailing Address - Country:US
Mailing Address - Phone:860-529-9740
Mailing Address - Fax:860-563-8483
Practice Address - Street 1:2162 SILAS DEANE HWY
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-2357
Practice Address - Country:US
Practice Address - Phone:860-529-9740
Practice Address - Fax:860-563-8483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002332152W00000X
CT039711207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty