Most Relevant Information
Provider Data
NPI Number: | 1003545658 |
Provider Name: | ALLIE DECKER OD |
Entity Type: | Individual |
Taxonomy Code: | 152WP0200X |
Specialty: | Optometrist |
License Number: | 3266 |
Most Important Dates
Enumeration Date: | 06/08/2022 |
Last Updated: | 02/14/2024 |
Provider Practice Location
2600 POST RD
SOUTHPORT
CT
068903206
Practice Location Phone/Fax
Phone: | 2032554005 |
Fax: |
Provider Mailing Location
100 WOODSIDE CT UNIT 8405
TRUMBULL
CT
066114991
Provider Mailing Phone/Fax
Phone: | |
Fax: |