Mozden, Walter S

Mozden, Walter S is an individual health care provider with primary practice located at 7 Clinic Drive , Norwich CT 06360-2915. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Contact Lens, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Contact Lens is his primary health care specialty. Mozden, Walter S can be contacted via phone (860) 889-9887.

Contact Information

Primary practice address
7 Clinic Drive Norwich CT 06360-2915
Phone: (860) 889-9887
Fax: (860) 889-0017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Contact Lens 156FC0800X 001299 Connecticut
Eye and Vision Services Providers / Optician 156FX1800X 000818 Connecticut

Profile Details

NPI number 1487793246
LBN Legal business name Mozden, Walter S
Credentials LO
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 19 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 1487793246 NPPES
Connecticut Other 112397 EYEMED VISION CARE
Connecticut Other Z56789 EYEMED VISION CARE
Connecticut Other 100000818CT02 EYEMED VISION CARE
Connecticut MEDICAID 4053690 EYEMED VISION CARE
Connecticut Other 523231 EYEMED VISION CARE

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