Waterbury Eye Associates Llc

LBN: Waterbury Eye Associates Llc
Waterbury Eye Associates Llc is an health care organization with primary practice located at 171 N Main St , Waterbury CT 06702-1405. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Waterbury Eye Associates Llc can be contacted via phone (203) 754-8413, or through Mclean, Clinton Runnells via phone (203) 754-8413.

Contact Information

Primary practice address
171 N Main St Waterbury CT 06702-1405
Phone: (203) 754-8413
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mclean, Clinton Runnells Doctor of Optometry (OD)
Phone: (203) 754-8413

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 904 Connecticut

Profile Details

NPI number 1750403051
LBN Legal business name Waterbury Eye Associates Llc
DBA Doing business as
Authorized official Mclean, Clinton Runnells Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2007
Last updated Oct 24th, 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 1750403051 NPPES
Connecticut MEDICAID 004228608

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