Basic Information
| Provider Information | |||||||||
| NPI: | 1932591872 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VISUAL PERCEPTIONS-ROCKY HILL, LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | CATHERINE M. FERENTINI | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2162 SILAS DEANE HWY | ||||||||
| Address2: | |||||||||
| City: | ROCKY HILL | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060672357 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605299740 | ||||||||
| FaxNumber: | 8605638483 | ||||||||
| Practice Location | |||||||||
| Address1: | 2162 SILAS DEANE HWY | ||||||||
| Address2: | |||||||||
| City: | ROCKY HILL | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060672357 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605299740 | ||||||||
| FaxNumber: | 8605638483 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/02/2015 | ||||||||
| LastUpdateDate: | 05/20/2015 | ||||||||
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| AuthorizedOfficialLastName: | FERENTINI | ||||||||
| AuthorizedOfficialFirstName: | CATHERINE | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8605299740 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | OD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 039711 | CT | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Ophthalmology | 152W00000X | 002332 | CT | Y | 193200000X MULTI-SPECIALTY GROUP | Eye and Vision Services Providers | Optometrist |
No ID Information.