Southington Optometric Care, Llc

LBN: Southington Optometric Care, Llc
Southington Optometric Care, Llc is an health care organization with primary practice located at 27 Meriden Ave , Southington CT 06489-3234. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Southington Optometric Care, Llc can be contacted via phone (860) 628-9937, or through Theriault, Heather L via phone (860) 628-9937.

Contact Information

Primary practice address
27 Meriden Ave Southington CT 06489-3234
Phone: (860) 628-9937
Fax: (860) 621-4911
Website:
Map and Directions
Authorized official contact:
Name: Theriault, Heather L Doctor of Optometry (OD)
Phone: (860) 628-9937

Health care specialties

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

Profile Details

NPI number 1972799260
LBN Legal business name Southington Optometric Care, Llc
DBA Doing business as
Authorized official Theriault, Heather L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2007
Last updated May 10th, 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 1972799260 NPPES
Connecticut MEDICAID 004199354

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