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Active NPI 1003799362 Individual Practitioner Male Practitioner

Merdoche Ephraim Gustave

Technician/Technologist - Optician • Groton, CT

Professional Overview & Biography Verified Profile Summary

Merdoche Gustave is a registered healthcare professional specializing in Technician/Technologist - Optician in Groton, CT. Practice services are available at 150 GOLD STAR HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

150 Gold Star Hwy

Groton, CT 063403442

Telephone 8604490185
Associated Practice Facility / Clinic
🏢 National Vision, Inc. Facility NPI 1558316877

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Groton, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Groton, CT (251 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-25
Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License CT 1939

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Tangler Harris

Technician/Technologist - Optician

NPI 1093648628
Thomas Aceto

Technician/Technologist - Optician

NPI 1295195352
Courtney Fitzgerald

Technician/Technologist - Optician

NPI 1306206511
Corie Citron

Technician/Technologist - Optician

NPI 1396270211
Emile Dulcine , LICENSED OPTICIAN

Technician/Technologist - Optician

NPI 1588024855

LICENSEDOPTICIAN

Rebecca Dow , LO

Technician/Technologist - Optician

NPI 1699228098

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 25, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 25, 2025

Registered at 150 GOLD STAR HWY, GROTON, CT 063403442 (Tel: 8604490185)

📍
Updated Business Mailing Address July 25, 2025

Registered at 150 GOLD STAR HWY, GROTON, CT 063403442 (Tel: 8604490185)

👤
Provider Name / Credentials Updated July 25, 2025

Recorded as MERDOCHE GUSTAVE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2025

Technician/Technologist (License #1939 in CT)

🟢
Initial NPI Registration & Enumeration July 25, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003799362
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2025
Last Update: July 25, 2025
Sole Proprietor: Yes

Mailing Address

150 Gold Star Hwy

Groton, CT 063403442

Phone: 8604490185

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.