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Contact Information

RONALD L MEDWICK, OD
567 VAUXHALL STREET
WATERFORD, CT06385
 Phone: 860-442-1466
 Fax: 860-442-3191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for RONALD L MEDWICK · (Male)

NPI Number 1790881696
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/16/2006
Last updated 01/21/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • CT License # CT753
  • CT Medicaid 004080941
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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