Oec Waterbury Llc

LBN: Oec Waterbury Llc
Oec Waterbury Llc is an health care organization with primary practice located at 3528 E Main St , Waterbury CT 06705-3873. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Oec Waterbury Llc can be contacted via phone (203) 377-3934, or through Bonnanzio, Karen via phone (203) 377-3937.

Contact Information

Primary practice address
3528 E Main St Waterbury CT 06705-3873
Phone: (203) 377-3934
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bonnanzio, Karen Doctor of Optometry (OD)
Phone: (203) 377-3937

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002346 Connecticut

Profile Details

NPI number 1477097285
LBN Legal business name Oec Waterbury Llc
DBA Doing business as
Authorized official Bonnanzio, Karen Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 13th, 2016
Last updated Dec 13th, 2016 - about 10 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 1477097285 NPPES
Connecticut MEDICAID 004160983

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