West, Sean

West, Sean is an sole proprietor health care provider with primary practice located at 775 Main St , Stratford CT 06615-7406. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. West, Sean can be contacted via phone (203) 377-2020.

Contact Information

Primary practice address
775 Main St Stratford CT 06615-7406
Fax: (203) 381-9936
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11978T California
Eye and Vision Services Providers / Optometrist 152W00000X 002824 Connecticut

Profile Details

NPI number 1114062999
LBN Legal business name West, Sean
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Mar 7th, 2023 - about 3 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 1114062999 NPPES
California MEDICAID SD0119780

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