Connecticut Eye Physicians & Surgeons Llc

LBN: Connecticut Eye Physicians & Surgeons Llc
Connecticut Eye Physicians & Surgeons Llc is an health care organization with primary practice located at 479 Buckland Rd , South Windsor CT 06074-3739. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Connecticut Eye Physicians & Surgeons Llc can be contacted via phone (860) 644-5011, or through Manganiello, Richard J via phone (860) 644-5011.

Contact Information

Primary practice address
479 Buckland Rd South Windsor CT 06074-3739
Fax: (860) 644-4833
Website:
Authorized official contact:
Name: Manganiello, Richard J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 035387 Connecticut

Profile Details

NPI number 1760675409
LBN Legal business name Connecticut Eye Physicians & Surgeons Llc
DBA Doing business as
Authorized official Manganiello, Richard J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2007
Last updated Jul 1st, 2010 - about 14 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 1760675409 NPPES
Connecticut MEDICAID 001353870

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