Connecticut Vision Center, Llc

LBN: Connecticut Vision Center, Llc
Connecticut Vision Center, Llc is an health care organization with primary practice located at 64 Thompson St Suite B104, East Haven CT 06513-5707. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Connecticut Vision Center, Llc can be contacted via phone (203) 469-1012, or through Diaz, Maria I via phone (203) 469-1012.

Contact Information

Primary practice address
64 Thompson St Suite B104 East Haven CT 06513-5707
Phone: (203) 469-1012
Fax: (203) 467-1369
Website:
Map and Directions
Authorized official contact:
Name: Diaz, Maria I
Phone: (203) 469-1012

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2426 Connecticut

Profile Details

NPI number 1942459615
LBN Legal business name Connecticut Vision Center, Llc
DBA Doing business as
Authorized official Diaz, Maria I
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2008
Last updated Oct 19th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942459615 NPPES
Connecticut MEDICAID 004173598

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