Eyecare Expressions

LBN: Dr. Jeanette Jezick Od., Llc
Eyecare Expressions is an health care organization with primary practice located at 1663 Route 12 , Gales Ferry CT 06335-1500. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr. Jeanette Jezick Od., Llc can be contacted via phone (860) 464-1040, or through Wilbanks, Peter via phone (860) 464-1040.

Contact Information

Primary practice address
1663 Route 12 Gales Ferry CT 06335-1500
Phone: (860) 464-1040
Fax: (860) 464-1044
Website:
Map and Directions
Authorized official contact:
Name: Wilbanks, Peter
Phone: (860) 464-1040

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002353 Connecticut

Profile Details

NPI number 1144556192
LBN Legal business name Dr. Jeanette Jezick Od., Llc
DBA Doing business as Eyecare Expressions
Authorized official Wilbanks, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2009
Last updated Oct 27th, 2009 - about 17 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 1144556192 NPPES
Connecticut Other 410000975 MEDICARE ID TYPE UNSPECIFIED PTAN
Connecticut MEDICAID 004132429 MEDICARE ID TYPE UNSPECIFIED PTAN

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