Whalio Doctors

NPI 1003545658

Allie Decker, OD

Practitioner Optometrist Southport, CT

Practice location

Address
2600 Post Rd, Southport, CT 06890-3206
Phone
(203) 255-4005
Mailing address
100 Woodside CT Unit 8405, Trumbull, CT 06611-4991

Registered specialties (3)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 3266 (CT)
Pediatric Optometrist
Eye and Vision Services Providers Taxonomy 152WP0200X Licence 3266 (CT)
Vision Therapy Optometrist
Eye and Vision Services Providers Taxonomy 152WV0400X Licence 3266 (CT)

Registry record

NPI
1003545658
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Jun 2022
Record last updated
14 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.