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Aleksandr Kozlov, O.D. — NPI 1700138047, Suffield, CT | NPI Central

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NPI 1700138047

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Aleksandr Kozlov, O.D.

NPI 1700138047 · Optometrist · Suffield, CT

Provider details

NPI number: 1700138047
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: O.D.
Sex: Male
Sole proprietor: Yes
License: 60570234 (WA)

Specialties & taxonomies

OptometristPrimary152W00000XLicense 3188 (CT)
Eye and Vision Services Providers
Optometrist152W00000XLicense 60570234 (WA)
Eye and Vision Services Providers

Practice location

162 Mountain Rd

Suffield, CT 06078-2091

Phone: (860) 668-0266

Fax: (860) 668-5556

Approximate (ZIP-level) locationGet directions

More CT providers

Mailing address

8614 Westwood Center Dr Fl 9

Vienna, VA 22182-2442

Registry dates

Enumerated: 2012-10-10
Last updated: 2024-10-04
Certified: 2024-10-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.