MERDOCHE EPHRAIM GUSTAVE NPI 1003799362

NPI Information

  • NPI: 1003799362
  • Provider Name: MERDOCHE EPHRAIM GUSTAVE
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Individual
  • Address: 150 GOLD STAR HWY
    GROTON, CT
    ZIP 06340
  • Phone: (860) 449-0185

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NPI Details

Merdoche Ephraim Gustave is an optician technician technologist in Groton, CT. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. Merdoche Ephraim Gustave NPI is 1003799362. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

150 GOLD STAR HWY
GROTON, CT
ZIP 06340-442
Phone: (860) 449-0185

The enumeration date for this NPI number is 7/25/2025 and was last updated on 7/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOptician1939CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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