Eye Q Optical

LBN: Norwich Ophthalmology Optical
Eye Q Optical is an health care organization with primary practice located at 179 Flanders Rd , Niantic CT 06357-1203. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Suppliers / Eyewear Supplier (Equipment, not the service) is the primary health care specialty. Norwich Ophthalmology Optical can be contacted via phone (860) 447-8664, or through Hertz, Jeffrey A. via phone (860) 886-0161.

Contact Information

Primary practice address
179 Flanders Rd Niantic CT 06357-1203
Fax: (860) 443-2986
Website:
Authorized official contact:
Name: Hertz, Jeffrey A. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 00562 Connecticut
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 001058 Connecticut

Profile Details

NPI number 1326280512
LBN Legal business name Norwich Ophthalmology Optical
DBA Doing business as Eye Q Optical
Authorized official Hertz, Jeffrey A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 2nd, 2009
Last updated Feb 16th, 2015 - about 11 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 1326280512 NPPES
Connecticut MEDICAID 008002781
Connecticut Other 100000433CT03

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