4D Vision Gym

LBN: 4D Optometry, Llc
4D Vision Gym is an health care organization with primary practice located at 181 Shunpike Rd , Cromwell CT 06416-1143. The organization recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as the primary health care specialty. 4D Optometry, Llc can be contacted via phone (860) 632-8423, or through Collier, Juanita D via phone (860) 632-8243.

Contact Information

Primary practice address
181 Shunpike Rd Cromwell CT 06416-1143
Phone: (860) 632-8423
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Collier, Juanita D MS, OD
Phone: (860) 632-8243

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X 2779 Connecticut

Profile Details

NPI number 1215376967
LBN Legal business name 4D Optometry, Llc
DBA Doing business as 4D Vision Gym
Authorized official Collier, Juanita D MS, OD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2013
Last updated Jun 17th, 2013 - about 11 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 1215376967 NPPES
Other 11999461 CAQH

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