WALTER S MOZDEN (NPI# 1487793246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487793246 |
Entity Type | Individual |
Full Name | WALTER S MOZDEN |
Credential | LO |
Practice Address |
7 Clinic Drive Norwich CT 06360-2915 |
Practice Telephone | 8608899887 |
Practice Fax Number | 8608890017 |
Mailing Telephone | 8608899887 |
Mailing Fax Number | 8608890017 |
Enumeration Date | 2007-02-06 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
001299 | CT | Eye and Vision Services Providers |
X | 156FX1800X |
Technician/Technologist Specialization: Optician |
000818 | CT | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | CONNECITCARE | 523231 | 01 |
CT | OPTI CARE | Z56789 | 01 |
CT | ANTHEM BLUE CROSS BLUE SH | 100000818CT02 | 01 |
CT | EYEMED VISION CARE | 112397 | 01 |
CT | 4053690 | 05 |
Street Address |
7 CLINIC DRIVE |
City | NORWICH |
State | CT |
Zip Code | 06360-2915 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568474484 | Steven K Gamble | Specialist | 7 Clinic Drive, Norwich, CT 06360-2915 | 2006-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
Find all providers in zip 06360 |
Taxonomy Code | 156FC0800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Contact Lens |
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114438652 | Eye Surgery Associates LLC | Technician/Technologist | 495 Hawley Ln, Stratford, CT 06614-1514 | 2017-10-23 |
1316323470 | Jon Paul Cartier | Technician/Technologist | 115 State St, Guilford, CT 06437-2725 | 2015-07-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.