Marvin A Sodergren Pc

LBN: Marvin A Sodergren Pc
Marvin A Sodergren Pc is an health care organization with primary practice located at 850 Hartford Tpke , Waterford CT 06385-4238. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Marvin A Sodergren Pc can be contacted via phone (860) 444-7441, or through Sodergren, Marvin Arnold via phone (860) 456-7426.

Contact Information

Primary practice address
850 Hartford Tpke Waterford CT 06385-4238
Phone: (860) 444-7441
Fax: (860) 444-1800
Website:
Map and Directions
Authorized official contact:
Name: Sodergren, Marvin Arnold Doctor of Optometry (OD)
Phone: (860) 456-7426

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 000714 Connecticut

Profile Details

NPI number 1811211279
LBN Legal business name Marvin A Sodergren Pc
DBA Doing business as
Authorized official Sodergren, Marvin Arnold Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2010
Last updated Mar 15th, 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 1811211279 NPPES
Connecticut MEDICAID 004023800
Connecticut Other 1750364436

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