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Contact Information

MVCA
NAVY SUBMARINE BASE NEW LONDON
BLDG 484
GROTON, CT06349
 Phone: 860-451-9733
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MVCA · (Female)

NPI Number 1205434347
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2020
Last updated 10/12/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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