Pegolo, Peter

Pegolo, Peter is an individual health care provider with primary practice located at 612 Quaker Ln S Suite B, West Hartford CT 06110-1027. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pegolo, Peter can be contacted via phone (860) 236-1218.

Contact Information

Primary practice address
612 Quaker Ln S Suite B West Hartford CT 06110-1027
Phone: (860) 236-1218
Fax: (860) 231-9298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X CT02448 Connecticut

Profile Details

NPI number 1184733255
LBN Legal business name Pegolo, Peter
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 26th, 2012 - about 14 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 1184733255 NPPES
Other 2V5586 HEALTH NET
Other 5094583 HEALTH NET
Other 002448 HEALTH NET
Other 090002448CT02 HEALTH NET
Other 1749886 HEALTH NET
Other 203912450 HEALTH NET
Other 203912450 HEALTH NET
Other 522108187187 HEALTH NET

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