Connecticut Retina Consultants Llc
LBN: Connecticut Retina Consultants Llc
Connecticut Retina Consultants Llc is an health care organization with primary practice located at 46 Prince Street Suite 203, New Haven CT 06519-1600. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Connecticut Retina Consultants Llc can be contacted via phone (203) 787-6161, or through Larrison, Wayne Ian via phone (203) 787-6161.
Contact Information
Primary practice address
46 Prince Street Suite 203
New Haven CT 06519-1600
Phone: (203) 787-6161
Fax: (203) 776-0300
Website:
Authorized official contact:
Name: Larrison, Wayne Ian Doctor of Medicine (MD)
Phone: (203) 787-6161
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 03754 | Connecticut |
Profile Details
| NPI number | 1134246853 |
|---|---|
| LBN Legal business name | Connecticut Retina Consultants Llc |
| DBA Doing business as | |
| Authorized official | Larrison, Wayne Ian Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Sep 8th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134246853 | NPPES |
| Connecticut | MEDICAID | 004203163 | |
| Connecticut | Other | 180040407 | |
| Connecticut | MEDICAID | 001307546 | |
| Connecticut | Other | P00412496 | |
| Connecticut | Other | 180042135 | |
| Connecticut | Other | CH2721 | |
| Connecticut | MEDICAID | 001367300 | |
| Connecticut | MEDICAID | 001337303 | |
| Connecticut | Other | 180040406 |
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