Southeast Connecticut Eye Care, Llc
LBN: Southeast Connecticut Eye Care, Llc
Southeast Connecticut Eye Care, Llc is an health care organization with primary practice located at 1041 Poquonnock Rd , Groton CT 06340-4211. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Southeast Connecticut Eye Care, Llc can be contacted via phone (860) 373-4148, or through Cranmer, Kevin Burke via phone (860) 373-4148.
Contact Information
Primary practice address
1041 Poquonnock Rd
Groton CT 06340-4211
Phone: (860) 373-4148
Fax: (860) 661-0180
Website:
Authorized official contact:
Name: Cranmer, Kevin Burke Doctor of Medicine (MD)
Phone: (860) 373-4148
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1326568502 |
|---|---|
| LBN Legal business name | Southeast Connecticut Eye Care, Llc |
| DBA Doing business as | |
| Authorized official | Cranmer, Kevin Burke Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 20th, 2017 |
| Last updated | Sep 10th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326568502 | NPPES |
| Connecticut | MEDICAID | 001443556 |
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