Whalio Doctors

NPI 1003927856

Dana Lynn Shepard, OD

Practitioner Optometrist Waterbury, CT

Practice location

Address
3600 E Main St, Waterbury, CT 06705-3851
Phone
(203) 596-0406
Mailing address
22 Russet Ln, Southington, CT 06489-1771

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 2198 (CT)

Registry record

NPI
1003927856
Entity type
Individual
Sex (as registered)
Female
NPI issued
31 Aug 2006
Record last updated
8 Jul 2007

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.