NPI 1073652558

Richard Russell Rock, OD

Practitioner Optometrist Vernon, CT

Practice location

Address: 348 Hartford Tpke, Vernon, CT 06066-4747
Phone: (860) 870-5800
Fax: (860) 871-0579
Mailing address: 97 Irene Dr, Vernon, CT 06066-4005

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence CT0745 (CT)

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Registry record

NPI: 1073652558
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Feb 2007
Record last updated: 17 May 2015

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.