Shafran, Sidney Lee

Shafran, Sidney Lee is an individual health care provider with primary practice located at 683 Broad St , Bristol CT 06010-6662. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Shafran, Sidney Lee can be contacted via phone (860) 583-2020.

Contact Information

Primary practice address
683 Broad St Bristol CT 06010-6662
Phone: (860) 583-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X CT803 Connecticut

Profile Details

NPI number 1578543708
LBN Legal business name Shafran, Sidney Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Dec 7th, 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 1578543708 NPPES
Connecticut Other 577286 CT CARE
Connecticut Other 0V2098 CT CARE
Connecticut Other 906171 CT CARE

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