Provider Demographics
NPI:1861404949
Name:LINDOWER, MARTIN ROBERT (OD)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:ROBERT
Last Name:LINDOWER
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:63 HEBRON AVE
Mailing Address - Street 2:TOTALVISION EYECARE OF GLASTONBURY, LLC
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-2078
Mailing Address - Country:US
Mailing Address - Phone:860-659-5900
Mailing Address - Fax:860-659-9900
Practice Address - Street 1:63 HEBRON AVE
Practice Address - Street 2:TOTALVISION EYECARE OF GLASTONBURY, LLC
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-2078
Practice Address - Country:US
Practice Address - Phone:860-659-5900
Practice Address - Fax:860-659-9900
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0969152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT410000879Medicare ID - Type Unspecified
CTT22912Medicare UPIN