Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH FAGUE
Active Sole ProprietorELIZABETH FAGUE is a Optician, Dispensing healthcare provider located in WATERFORD, Connecticut. NPI 1538397419 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · WATERFORD, CT
Registration Details
- NPI Number
- 1538397419
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 30, 2009 (17.112010993814 yrs)
- Last Updated
- Jun 30, 2009
- License
-
001497 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
155 WATERFORD PARKWAY N.WATERFORD, CT, 06385Browse CT providers · Browse ZIP 06385
- Phone
- 8604373748
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in WATERFORD, CT
| Name | Credential | NPI |
|---|---|---|
| MR. BRADLEY PETER BOHMAN | LO | 1023245776 |
| MR. WILLIAM D. FOREMAN | L.O. | 1275853541 |
| KIRK LARSEN | — | 1124413703 |
| PAMELA A PIETRAS | — | 1528824331 |
| MARCEE GAIL ECKERT | LO | 1376300020 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.