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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SIDET SOU, OD, LLC

Active Organization

SIDET SOU, OD, LLC is a Optometrist organization located in MANCHESTER, Connecticut. NPI 1336301597 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MANCHESTER, CT

Registration Details

NPI Number
1336301597
Provider Type
Organization
NPI Issued
Jun 30, 2008 (18.125391228498 yrs)
Last Updated
Sep 6, 2023
License
CT002732 (CT)

Practice Information

Address
69 PAVILION DR
MANCHESTER, CT, 060428702
Browse CT providers · Browse ZIP 06042
Phone
8606449439
Primary Specialty
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.