Sidet Sou (NPI# 1285818724, PAC ID# 8325355795) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1285818724 |
| PAC ID by PECOS | 8325355795 |
| Professional Enrollment ID | I20150917000194 |
| Full Name | Sidet Sou |
| Organization Legal Name | MYEYEDR OPTOMETRY OF CONNECTICUT, LLC |
| Address |
2165 Dixwell Ave Hamden CT 06514-2116 |
| Phone Number | 2034073937 |
| Gender | F |
| Medical School | NEW ENGLAND COLLEGE OF OPTOMETRY |
| Graduation Year | 2007 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1557666237 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1482 Post Rd, Fairfield, CT 06824-5911 | 2032540055 | MYEYEDR OPTOMETRY OF CONNECTICUT, LLC |
| 2165 Dixwell Ave, Hamden, CT 06514-2116 | 2034073937 | MYEYEDR OPTOMETRY OF CONNECTICUT, LLC |
| Organization Legal Name | MYEYEDR OPTOMETRY OF CONNECTICUT, LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amara Akbar | Optometry | Myeyedr Optometry of Connecticut, LLC | 997 Main St, Watertown, CT 06795-2914 |
| Roderick Lucien Swift | Optometry | Myeyedr Optometry of Connecticut, LLC | 65 N St, Danbury, CT 06810-5640 |
| Tiffany Nicole Deleon | Optometry | Myeyedr Optometry of Connecticut, LLC | 58 Maple St, Suite 3, Naugatuck, CT 06770-4104 |
| Jamee Patel | Optometry | Myeyedr Optometry of Connecticut, LLC | 145 Wakelee Ave, Ansonia, CT 06401-1176 |
| Stephen M Dincher | Optometry | Myeyedr Optometry of Connecticut, LLC | 100 Main St N, Southbury, CT 06488-3840 |
| Joel Roffer | Optometry | Myeyedr Optometry of Connecticut, LLC | 38 Fenn Rd, Newington, CT 06111-2212 |
| Megan Suzanne Young | Optometry | Myeyedr Optometry of Connecticut, LLC | 400 Talcottville Rd, Suite 1, Vernon, CT 06066-7032 |
| Peter A Remillard | Optometry | Myeyedr Optometry of Connecticut, LLC | 1785 Highland Ave, Cheshire, CT 06410-1272 |
| Shannon M Mulligan | Optometry | Myeyedr Optometry of Connecticut, LLC | 604 Lakewood Rd, Waterbury, CT 06704-2419 |
| Sean C Mcloughlin | Optometry | Myeyedr Optometry of Connecticut, LLC | 18 W Avon Rd, Avon, CT 06001-3583 |
| Street Address |
2165 DIXWELL AVE |
| City | HAMDEN |
| State | CT |
| Zip | 06514-2116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura C Dake-roche | Optometry | Myeyedr Optometry of Connecticut, LLC | 2165 Dixwell Ave, Hamden, CT 06514-2116 |
| Harvard Sylvan | Optometry | Myeyedr Optometry of Connecticut, LLC | 2165 Dixwell Ave, Hamden, CT 06514-2116 |
| Joseph J Carillo | Optometry | Myeyedr Optometry of Connecticut, LLC | 2165 Dixwell Ave, Hamden, CT 06514-2116 |
| Douglas P Agranov | Optometry | Myeyedr Optometry of Connecticut, LLC | 2165 Dixwell Ave, Hamden, CT 06514-2116 |
| Eugene Y Fei | Optometry | Myeyedr. Optometry of Connecticut, LLC | 2165 Dixwell Ave, Hamden, CT 06514-2116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanna M Dest | Nurse Practitioner | 830 Sherman Ave, Hamden, CT 06514-1147 | |
| Agnes Marie Barba | Clinical Social Worker | 830 Sherman Ave, Hamden, CT 06514-1147 | |
| Marguerite M Williams | Clinical Social Worker | 130 Bear Path Rd, Hamden, CT 06514-1329 | |
| Deborah A Oberman | Clinical Social Worker | 182 Magee Dr, Hamden, CT 06514-1340 | |
| Carol Andrea Eggers | Nurse Practitioner | Yale University | 2560 Dixwell Ave, Hamden, CT 06514-1851 |
| Alla Bernshteyn | Internal Medicine | Prohealth Physicians PC | 2560 Dixwell Ave, 2b, Hamden, CT 06514-1852 |
| Cheryl A Cuozzo | Nurse Practitioner | Prohealth Physicians PC | 2560 Dixwell Ave, 2b, Hamden, CT 06514-1852 |
| Hafsa M Nawaz | Internal Medicine | Star Medical Care Pllc | 2560 Dixwell Ave, Suite 1a, Hamden, CT 06514-1852 |
| Emily J Tuozzo | Nurse Practitioner | Prohealth Physicians PC | 2560 Dixwell Ave, 2b, Hamden, CT 06514-1852 |
| Kathrine Ann Walker | Nurse Practitioner | Star Medical Care Pllc | 2560 Dixwell Ave, Suite 1a, Hamden, CT 06514-1852 |
| Find all physicians in zip 06514 | |||
| City | HAMDEN |
| Zip Code | 06514 |
| Specialty | OPTOMETRY |
| City + Specialty | HAMDEN + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.