Blondin, Matthew
Blondin, Matthew is an individual health care provider with primary practice located at 379 Prospect Street Suite B, Torrington CT 06790-0448. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blondin, Matthew can be contacted via phone (860) 489-2781.Contact Information
Primary practice address
379 Prospect Street Suite B
Torrington CT 06790-0448
Phone: (860) 489-2781
Fax: (860) 489-9017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 000845 | Connecticut |
Profile Details
| NPI number | 1386611762 |
|---|---|
| LBN Legal business name | Blondin, Matthew |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386611762 | NPPES |
| Connecticut | MEDICAID | 004024592 |
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