ELIZABETH FAGUE (NPI# 1538397419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538397419 |
| Entity Type | Individual |
| Full Name | ELIZABETH FAGUE |
| Practice Address |
155 Waterford Parkway N. Waterford CT 06385 |
| Mailing Address |
51 Hi Top Hill Rd Voluntown CT 06384-1813 |
| Practice Telephone | 8604373748 |
| Mailing Telephone | 8603768934 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
001497 | CT | Eye and Vision Services Providers |
| Street Address |
155 WATERFORD PARKWAY N. |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
| 1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
| 1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
| 1750810297 | Taylor Anne Tomasetti | Occupational Therapist | 24 Doyle Rd, Waterford, CT 06385 | 2017-06-08 |
| 1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
| 1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1194085076 | Meghana Rao Brito | Internal Medicine | 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 | 2012-05-24 |
| Find all providers in zip 06385 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023245776 | Bradley Peter Bohman | Technician/Technologist | Vision Center, 155 Waterford Pkwy North, Waterford, CT 06385 | 2009-06-19 |
| 1629235031 | Fluegge Optical | Technician/Technologist | 920 E Main Street, Waterford, WI 53185 | 2008-05-22 |
| 1609048172 | Koc Inc | Technician/Technologist | 5660 Dixie Hwy, Waterford, MI 48329-1695 | 2008-03-25 |
| 1841322633 | Cohens Fashion Optical | Technician/Technologist | 850 Hartford Tnpk, Waterford, CT 06385 | 2007-03-09 |
| 1497817712 | Professional Optician Management Services Inc | Technician/Technologist | 741 Broad Street Extension, Waterford, CT 06385 | 2006-12-14 |
| 1063571214 | Professional Opticians Inc | Technician/Technologist | 125 Boston Post Road, Waterford, CT 06385 | 2006-12-06 |
| 1437530995 | Usv Optical Inc. | Technician/Technologist | 125 Cross Rd, Waterford, CT 06385-1203 | 2015-06-10 |
| 1124413703 | Kirk Larsen | Technician/Technologist | 850 Hartford Tpke, Cohens Fashion Optical, Waterford, CT 06385-4238 | 2015-04-01 |
| 1275853541 | William D. Foreman | Technician/Technologist | 131 Boston Post Rd, Suite 4, Waterford, CT 06385-2839 | 2010-06-09 |
| 1316039845 | Sam's Club Optical | Technician/Technologist | 495 Summit Dr, Waterford, MI 48328-3368 | 2006-09-29 |
| Find all providers in WATERFORD | ||||
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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.