Provider Demographics
NPI:1831611524
Name:DAVID E. PALOZEJ EYECARE ASSOCIATES, LLC
Entity type:Organization
Organization Name:DAVID E. PALOZEJ EYECARE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:PALOZEJ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:860-870-4632
Mailing Address - Street 1:384 MERROW RD STE A
Mailing Address - Street 2:
Mailing Address - City:TOLLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06084-3972
Mailing Address - Country:US
Mailing Address - Phone:860-870-4632
Mailing Address - Fax:860-870-4634
Practice Address - Street 1:384 MERROW RD STE A
Practice Address - Street 2:
Practice Address - City:TOLLAND
Practice Address - State:CT
Practice Address - Zip Code:06084-3972
Practice Address - Country:US
Practice Address - Phone:860-870-4632
Practice Address - Fax:860-870-4634
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAVID E. PALOZEJ EYECARE ASSOCIATES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002101152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty