National Provider Identifier Database

FREDERICK A MOFFA, OD – NPI #1679509509
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

FREDERICK A MOFFA, OD
355 SALMON BROOK ST
GRANBY, CT06035-1804
Phone: 860-653-7440
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for FREDERICK A MOFFA

NPI Number 1679509509
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/23/2006
Last updated 03/17/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 2388
  • CT Medicaid: 004172699
  • CT Other: 090002388CT 04 BLUE CROSS BLUE SHIELD
Hospital affiliation n/a

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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