Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Optometric Specialty Group Limited Liability Company

Organization Optometrist · NPI 1184717365

Optometric Specialty Group Limited Liability Company is an Optometrist in West Hartford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006

Practice location Address checks out

77 S Main St
West Hartford, CT 06107-2404
Phone: (860) 236-1218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 02448 (CT)

Record details

NPI number1184717365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edie Ryba — Practice Manager · (860) 236-1218
NPI enumeratedOctober 2, 2006
Last updated in NPPESMarch 8, 2010
Mailing address77 S Main St, West Hartford, CT 06107-2404

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