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Contact Information

MICAELA R GOBEILLE, OD
163 BROADWAY ST
COLCHESTER, CT06415-1022
 Phone: 860-537-2020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICAELA R GOBEILLE · (Female)

NPI Number 1033602230
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/12/2018
Last updated 10/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 3151
  • MA License # 5455
  • NY License # PENDING
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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