Villacis, Fabian Cesar
Villacis, Fabian Cesar is an individual health care provider with primary practice located at 1320 W Main St Ste 3 , Waterbury CT 06708-3129. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Villacis, Fabian Cesar can be contacted via phone (203) 755-4941.Contact Information
Primary practice address
1320 W Main St Ste 3
Waterbury CT 06708-3129
Phone: (203) 755-4941
Fax: (203) 573-8372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002832 | Connecticut |
Profile Details
| NPI number | 1386939510 |
|---|---|
| LBN Legal business name | Villacis, Fabian Cesar |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2011 |
| Last updated | Sep 30th, 2019 - about 7 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 | 1386939510 | NPPES |
| Connecticut | MEDICAID | 004195063 GR# | |
| Connecticut | MEDICAID | 8043102 |
Popular Providers
-
Buck, Robert Alexander
171 N Main St , Waterbury CT 06702 -
Prudhomme, Jeremy Earl
495 Union St Ste 1082 , Waterbury CT 06706-1285 -
Mulligan, Shannon M
604 Lakewood Rd , Waterbury CT 06704-2419 -
Restivo, Frank
495 Union St Ste 1082 , Waterbury CT 06706-1285 -
Mitchell, Caitlyn Kennedy
87 Grandview Ave , Waterbury CT 06708-2514 -
Abramson, Annemarie Vitka
3600 E Main St , Waterbury CT 06705-3851 -
So, Kevin
604 Lakewood Rd , Waterbury CT 06704-2419 -
Spahiu, Korab
495 Union St Ste 1082 , Waterbury CT 06706-1285