Fedora Optical Inc

LBN: Fedora Optical Inc
Fedora Optical Inc is an health care organization with primary practice located at 236 N Main St , Manchester CT 06042-2004. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Fedora Optical Inc can be contacted via phone (860) 646-3577, or through Fedora, Peter J. via phone (860) 646-3577.

Contact Information

Primary practice address
236 N Main St Manchester CT 06042-2004
Phone: (860) 646-3577
Fax: (860) 643-9733
Website:
Map and Directions
Authorized official contact:
Name: Fedora, Peter J. L.O.
Phone: (860) 646-3577

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 001359 Connecticut

Profile Details

NPI number 1750507380
LBN Legal business name Fedora Optical Inc
DBA Doing business as
Authorized official Fedora, Peter J. L.O.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Feb 18th, 2021 - about 4 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 1750507380 NPPES
Connecticut Other 1750507380CT ANTHEM BLUE COSS BLUE SHIELD
Connecticut Other CU6991 ANTHEM BLUE COSS BLUE SHIELD

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