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Contact Information

KEITH M LEMIRE, OD
741 BROAD ST EXT
WATERFORD, CT06385
 Phone: 860-442-5663
 Fax: 860-444-7778
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for KEITH M LEMIRE · (Male)

NPI # 1477511426
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/01/2006
Last updated 10/26/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 002391
  • CT Other 410045811 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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