Dr. Ronicha Azard Lin, O.D.
Optometrist in Windsor, CT. Individual provider (NPI-1).
NPI number1861843658
StatusActive
Last updated in NPPESMay 25, 2021
Details
- NPI
- 1861843658
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ronicha Azard Lin
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2016
- Certification date
- May 25, 2021
- Last updated
- May 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2984 | CT | Yes |
Practice location
502 Windsor AveWindsor, CT 06095-4046
Phone 860-688-5303 · Fax 860-688-5853
Mailing address
502 Windsor AveWindsor, CT 06095-4046
Phone 860-688-5303 · Fax 860-688-5853
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Other Optometrist providers in Windsor, CT
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