NPI 1386939510

Fabian Cesar Villacis, OD

Practitioner Optometrist Waterbury, CT

Practice location

Address: 1320 W Main St STE 3, Waterbury, CT 06708-3129
Phone: (203) 755-4941
Fax: (203) 573-8372

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 002832 (CT)

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Registry record

NPI: 1386939510
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2011
Record last updated: 30 Sep 2019

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.