Fung, Audrey S
Fung, Audrey S is an individual health care provider with primary practice located at 3600 E Main St , Waterbury CT 06705-3851. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fung, Audrey S can be contacted via phone (203) 596-0406.Contact Information
Primary practice address
3600 E Main St
Waterbury CT 06705-3851
Phone: (203) 596-0406
Fax: (203) 756-7316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002621 | Connecticut |
Profile Details
| NPI number | 1083615850 |
|---|---|
| LBN Legal business name | Fung, Audrey S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Jun 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083615850 | NPPES |
| Connecticut | MEDICAID | 004249951 |
Popular Providers
-
Germain, Albert E.
1320 W Main St , Waterbury CT 06708-3119 -
Ando, Airi
1201 W Main St Ste 100 , Waterbury CT 06708-3105 -
So, Kevin
604 Lakewood Rd , Waterbury CT 06704-2419 -
Owens, Kimberly Sue
910 Wolcott Street Vision Center, Waterbury CT 06705 -
Villacis, Fabian Cesar
1320 W Main St Ste 3 , Waterbury CT 06708-3129 -
Mulligan, Shannon M
604 Lakewood Rd , Waterbury CT 06704-2419 -
Trocchi, Domenico
481 Wolcott St , Waterbury CT 06705-1247 -
Abramson, Annemarie Vitka
3600 E Main St , Waterbury CT 06705-3851