Devina Patel, O.D., Llc

LBN: Crystaleyes, Llc
Devina Patel, O.D., Llc is an health care organization with primary practice located at 1220 Tamarack Avenue Independent Optometrists Inside Of Costco, South Windsor CT 06074-5572. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Crystaleyes, Llc can be contacted via phone (860) 474-4046, or through Patel, Devina via phone (860) 474-4046.

Contact Information

Primary practice address
1220 Tamarack Avenue Independent Optometrists Inside Of Costco South Windsor CT 06074-5572
Phone: (860) 474-4046
Fax: (860) 474-4045
Website:
Map and Directions
Authorized official contact:
Name: Patel, Devina O.D., FAAO
Phone: (860) 474-4046

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1285383737
LBN Legal business name Crystaleyes, Llc
DBA Doing business as Devina Patel, O.D., Llc
Authorized official Patel, Devina O.D., FAAO
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2022
Last updated Nov 7th, 2022 - about 3 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 1285383737 NPPES
Connecticut MEDICAID 1588895700
Connecticut MEDICAID 1538475132
Connecticut MEDICAID 1831219278

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