Zeldes, Ross Edward

Zeldes, Ross Edward is an individual health care provider with primary practice located at 1268 Main St Ste 104, Newington CT 06111. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Zeldes, Ross Edward can be contacted via phone (860) 666-5431.

Contact Information

Primary practice address
1268 Main St Ste 104 Newington CT 06111
Phone: (860) 666-5431
Fax: (860) 666-5433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002162 Connecticut

Profile Details

NPI number 1508877549
LBN Legal business name Zeldes, Ross Edward
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 22nd, 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 1508877549 NPPES
Connecticut Other 4232995 AETNA
Connecticut Other 090002162CT07 AETNA
Connecticut MEDICAID 4075313 AETNA

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