Mckinney, Lee Robert

Mckinney, Lee Robert is an individual health care provider with primary practice located at 495 Hawley Ln , Stratford CT 06614-1514. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Ophthalmic, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optician is his primary health care specialty. Mckinney, Lee Robert can be contacted via phone (203) 375-5819.

Contact Information

Primary practice address
495 Hawley Ln Stratford CT 06614-1514
Phone: (203) 375-5819
Fax: (203) 377-4337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ophthalmic 156FX1100X 1193 Connecticut
Eye and Vision Services Providers / Optician 156FX1800X 1193 Connecticut

Profile Details

NPI number 1336615764
LBN Legal business name Mckinney, Lee Robert
Credentials LO
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2018
Last updated Oct 24th, 2018 - about 8 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 1336615764 NPPES
Connecticut MEDICAID 1114438652

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