Bergeron-Duncan, Kim Lee

Bergeron-Duncan, Kim Lee is an sole proprietor health care provider with primary practice located at 110 Hopmeadow St Suite 100, Weatogue CT 06089-9407. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bergeron-Duncan, Kim Lee can be contacted via phone (860) 658-1704.

Contact Information

Primary practice address
110 Hopmeadow St Suite 100 Weatogue CT 06089-9407
Phone: (860) 658-1704
Fax: (860) 651-9966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2596 Connecticut

Profile Details

NPI number 1659453959
LBN Legal business name Bergeron-Duncan, Kim Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659453959 NPPES
Connecticut Other CT2596 EYEMED
Connecticut Other 090002596CT04 EYEMED
Connecticut Other CT2596 EYEMED
Connecticut Other 2V5840 EYEMED
Connecticut Other 1811978 EYEMED
Connecticut Other 259600 EYEMED
Connecticut Other 5799268 EYEMED
Connecticut Other 9431179 EYEMED

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