Kenneth H. Elder, OD

Optometrist · Wallingford, CT

Individual Active NPI

NPI number 1922170224

Practice location

821 N Main Street Ext
Wallingford, CT 06492-2464
Phone
(203) 265-5152
Fax
(203) 265-1562

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NPI record

NPI
1922170224
Entity type
Individual (Type 1)
Enumeration date
November 14, 2006
Last updated
July 27, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 2591 CT

Mailing address

821 North Main Street Ext
Wallingford, CT 06492-4203
Phone
(203) 265-5152
Fax
(203) 265-1562

About Dr. Elder

Kenneth H. Elder, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 821 N Main Street Ext, Wallingford, CT 06492-2464. The NPI number 1922170224 was assigned on November 14, 2006 and the record was last updated on July 27, 2017.

Dr. Elder lists a license in the registry: #2591 (CT) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth H. Elder, OD?

The NPI number is 1922170224.

What is the phone number of Dr. Elder?

The phone number listed for the practice location is (203) 265-5152.

Where is Dr. Elder located?

821 N Main Street Ext, Wallingford, CT 06492-2464.

What is the taxonomy code for Dr. Elder?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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