Provider Demographics
NPI:1861089708
Name:VC WILTON LLC
Entity type:Organization
Organization Name:VC WILTON LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN-MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLING
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:203-834-0860
Mailing Address - Street 1:602 CARTER ST
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-5021
Mailing Address - Country:US
Mailing Address - Phone:718-986-8495
Mailing Address - Fax:
Practice Address - Street 1:115 OLD RIDGEFIELD RD STE 101B
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-3019
Practice Address - Country:US
Practice Address - Phone:203-834-0860
Practice Address - Fax:203-762-3876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-27
Last Update Date:2021-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty