Elizabeth Fague

NPI 1538397419 · on the registry since 2009 · sole proprietor

Practice

Address: 155 Waterford Parkway N.
Waterford, CT 06385
Phone: (860) 437-3748
Organisation at this address: Doc Eye Llc
National Vision, Inc.
Wal-Mart Stores East, Lp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 156FX1800X
156FX1800X
Licence states on file: CT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut