Provider Demographics
NPI:1912685538
Name:PLUCINIK, JULIET ALICIA (OD)
Entity type:Individual
Prefix:DR
First Name:JULIET
Middle Name:ALICIA
Last Name:PLUCINIK
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 WHITE OAK AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-2528
Mailing Address - Country:US
Mailing Address - Phone:860-302-8478
Mailing Address - Fax:
Practice Address - Street 1:599 FARMINGTON AVE STE 201
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-2383
Practice Address - Country:US
Practice Address - Phone:860-837-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3300152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist