Whalio Doctors

NPI 1043445539

Crystal Lynn Deluca, OD

Practitioner Optometrist West Haven, CT

Practice location

Address
950 Campbell Ave, West Haven, CT 06516-2770
Phone
(203) 932-5711
Fax
(203) 479-8118
Mailing address
6406 S 164th Cir, Omaha, NE 68135-6376

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 2785 (CT)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1341 (NE)

Registry record

NPI
1043445539
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 May 2009
Record last updated
21 Jun 2010

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.