Dixwell Avenue Eyecare Pllc

LBN: Dixwell Avenue Eyecare Pllc
Dixwell Avenue Eyecare Pllc is an health care organization with primary practice located at 2100 Dixwell Ave Ste 16 , Hamden CT 06514-2406. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dixwell Avenue Eyecare Pllc can be contacted via phone (203) 281-4330, or through Carr, Stephen M via phone (203) 767-9169.

Contact Information

Primary practice address
2100 Dixwell Ave Ste 16 Hamden CT 06514-2406
Phone: (203) 281-4330
Fax: (203) 288-4018
Website:
Map and Directions
Authorized official contact:
Name: Carr, Stephen M Doctor of Optometry (OD)
Phone: (203) 767-9169

Health care specialties

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

Profile Details

NPI number 1033694179
LBN Legal business name Dixwell Avenue Eyecare Pllc
DBA Doing business as
Authorized official Carr, Stephen M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2018
Last updated Sep 25th, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033694179 NPPES
Connecticut MEDICAID 008036359

Popular Providers