Dr. Allie Decker, OD
Optometrist in Southport, CT. Individual provider (NPI-1).
NPI number1003545658
StatusActive
Last updated in NPPESFeb 14, 2024
Details
- NPI
- 1003545658
- Entity type
- Individual (NPI-1)
- Name
- Dr. Allie Decker
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2022
- Certification date
- Feb 14, 2024
- Last updated
- Feb 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 3266 | CT | Yes |
| 152WP0200X | Optometrist, Pediatrics | 3266 | CT | |
| 152WV0400X | Optometrist, Vision Therapy | 3266 | CT |
Practice location
2600 Post RdSouthport, CT 06890-3206
Phone 203-255-4005
Mailing address
100 Woodside Ct Unit 8405Trumbull, CT 06611-4991
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All 8 Optometrist providers in Southport · All 174 providers in Southport
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