Provider Demographics
NPI:1831266576
Name:ZERVAS, HELEN J (OD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:J
Last Name:ZERVAS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:780 KING ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-4480
Mailing Address - Country:US
Mailing Address - Phone:860-584-5528
Mailing Address - Fax:860-584-5528
Practice Address - Street 1:780 KING ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-4480
Practice Address - Country:US
Practice Address - Phone:860-584-5528
Practice Address - Fax:860-584-5528
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2358152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2269846OtherAETNA
CT2200461OtherEVERCARE INS
CT2V4712OtherHEALTH NET INS
CT090002358CT05OtherBLUE CROSS
CT702358OtherCONNECTICARE INSURANCE
CT2V4712OtherHEALTH NET INS