Wallingford Eye Care Center P.C.

LBN: Wallingford Eye Care Center P.C.
Wallingford Eye Care Center P.C. is an health care organization with primary practice located at 821 N Main Street Ext , Wallingford CT 06492-2464. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Wallingford Eye Care Center P.C. can be contacted via phone (203) 265-5152, or through Elder, Ken H via phone (203) 265-5152.

Contact Information

Primary practice address
821 N Main Street Ext Wallingford CT 06492-2464
Phone: (203) 265-5152
Fax: (203) 265-1562
Website:
Map and Directions
Authorized official contact:
Name: Elder, Ken H Doctor of Optometry (OD)
Phone: (203) 265-5152

Health care specialties

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

Profile Details

NPI number 1053521419
LBN Legal business name Wallingford Eye Care Center P.C.
DBA Doing business as
Authorized official Elder, Ken H Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Mar 20th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053521419 NPPES
Connecticut MEDICAID 004024865

Popular Providers