Eyecare Center Of Waterbury Llc
LBN: Eyecare Center Of Waterbury Llc
Eyecare Center Of Waterbury Llc is an health care organization with primary practice located at 625 Wolcott St , Waterbury CT 06705-1342. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Prosthetic/Orthotic Supplier. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Eyecare Center Of Waterbury Llc can be contacted via phone (203) 754-8339, or through Pulaski, John Joseph via phone (203) 754-8339.
Contact Information
Primary practice address
625 Wolcott St
Waterbury CT 06705-1342
Phone: (203) 754-8339
Fax:
Website:
Authorized official contact:
Name: Pulaski, John Joseph Doctor of Optometry (OD)
Phone: (203) 754-8339
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 000910 | Connecticut |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 000910 | Connecticut |
Profile Details
| NPI number | 1144369588 |
|---|---|
| LBN Legal business name | Eyecare Center Of Waterbury Llc |
| DBA Doing business as | |
| Authorized official | Pulaski, John Joseph Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Mar 26th, 2008 - about 16 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 | 1144369588 | NPPES |
| Connecticut | Other | 0043160 | AETNA |
| Connecticut | Other | 115526 | AETNA |
| Connecticut | Other | 762224 | AETNA |
| Connecticut | Other | OV8953 | AETNA |
| Connecticut | Other | P379072 | AETNA |
| Connecticut | Other | 090000910CT01 | AETNA |
| Connecticut | MEDICAID | 004257673 | AETNA |
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