Dr. Dana Lynn Shepard
Optometrist
3600 E Main St
Waterbury
, Connecticut 06705-3851
Dr. Dana Lynn Shepard
Optometrist
3600 E Main St
Waterbury
, Connecticut 06705-3851
(860) 276-0081
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Dana Lynn Shepard
- 22 Russet Ln
- Southington, CT
- Zip : 06489-1771
- Phone : (860) 276-0081
Second Address
- Dr. Dana Lynn Shepard
- 3600 E Main St
- Waterbury, CT
- Zip : 06705-3851
- Phone : (203) 596-0406
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2198 | CT |
National Provider Identifier
| NPI | 1003927856 |
|---|---|
| Provider Name | Dr. Dana Lynn Shepard |
| First Address | Southington, CT 06489-1771 |
| Second Address | Waterbury, CT 06705-3851 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 090002198CT12 | ANTHEM BLUE CROSS (01) | CT |
| T91651 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.