DR. RONALD L MEDWICK (NPI# 1790881696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790881696 |
| Entity Type | Individual |
| Full Name | DR. RONALD L MEDWICK |
| Credential | OD |
| Practice Address |
567 Vauxhall Street Waterford CT 06385 |
| Practice Telephone | 8604421466 |
| Practice Fax Number | 8604423191 |
| Mailing Telephone | 8604421466 |
| Mailing Fax Number | 8604423191 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2009-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | CT753 | CT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004080941 | 05 |
| Street Address |
567 VAUXHALL STREET |
| 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 | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | 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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158174 | Katina Simmons | Optometrist | 567 Vauxhall Street Ext Ste 105, Waterford, CT 06385-4331 | 2018-06-18 |
| 1790130656 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Hartford Turnpike, Waterford, CT 06385-4238 | 2016-04-28 |
| 1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
| 1457793432 | John I Nedelcu | Optometrist | 903 Hartford Tpke, Waterford, CT 06385-4264 | 2013-07-19 |
| 1730325747 | Richard J. St. Louis O.d. P.C. | Optometrist | 4486 W Walton Blvd, Waterford, MI 48329-4073 | 2008-12-22 |
| 1912192436 | Stephen F. Fedus IIi | Optometrist | 824 Hartford Tpk., Sears Optical Dept., Waterford, CT 06385 | 2007-09-07 |
| 1316083215 | Mary C. Beaulieu, Od | Optometrist | 125 Boston Post Rd, Waterford, CT 06385-2812 | 2007-01-29 |
| 1710038401 | Richard James St Louis | Optometrist | 4486 W. Walton Blvd, Waterford, MI 48329-4073 | 2007-01-16 |
| 1184782641 | Gerald Norman Gauthier | Optometrist | 4924 Highland Rd, Waterford, MI 48328-1142 | 2006-12-05 |
| 1356427165 | Andrea L Parisi | Optometrist | 401 N Milwaukee St Ste 3, Waterford, WI 53185-4493 | 2006-10-27 |
| 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.