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Contact Information

RICHARD J NOWAK, OD MS
155 NORTH ROAD
EAST WINDSOR, CT06088
 Phone: 860-623-8217
 Fax: 860-627-7706
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for RICHARD J NOWAK · (Male)

NPI # 1740319441
Status Active
Credentials OD MS
Entity Individual
Enumeration date 03/06/2007
Last updated 03/23/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # CT725
  • CT Medicaid 004023883
  • Other 398175 UHC
  • CT Other 090000725CT01 BLUE CROSS
  • CT Other 603005 CONN CARE
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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