NPI 1083615850

Audrey S Fung, OD

Practitioner Optometrist Waterbury, CT

Practice location

Address: 3600 E Main St, Waterbury, CT 06705-3851
Phone: (203) 596-0406
Fax: (203) 756-7316

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 002621 (CT)

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Registry record

NPI: 1083615850
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Aug 2005
Record last updated: 27 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.