Agranov, Douglas P

Agranov, Douglas P is an individual health care provider with primary practice located at 749 Boston Post Rd , Madison CT 06443-3044. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Agranov, Douglas P can be contacted via phone (203) 245-1492.

Contact Information

Primary practice address
749 Boston Post Rd Madison CT 06443-3044
Fax: (203) 245-9002
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 000703 Connecticut

Profile Details

NPI number 1952364465
LBN Legal business name Agranov, Douglas P
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Feb 12th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952364465 NPPES
Connecticut MEDICAID 004023701

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