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Contact Information

RENAE REYNOLDS, OD
489 GOLD STAR HWY STE 100
GROTON, CT06340
 Phone: 860-445-2461
 Fax: 860-445-8512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for RENAE REYNOLDS · (Female)

NPI # 1104347806
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/03/2017
Last updated 08/12/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 3038
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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