Killingly Eye Care P.C.

LBN: Killingly Eye Care P.C.
Killingly Eye Care P.C. is an health care organization with primary practice located at 25 Green Hollow Rd , Danielson CT 06239-3509. The organization recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as the primary health care specialty. Killingly Eye Care P.C. can be contacted via phone (860) 779-1588, or through Boccuzzi, James L via phone (860) 779-1588.

Contact Information

Primary practice address
25 Green Hollow Rd Danielson CT 06239-3509
Phone: (860) 779-1588
Fax: (860) 779-1754
Website:
Map and Directions
Authorized official contact:
Name: Boccuzzi, James L Doctor of Optometry (OD)
Phone: (860) 779-1588

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 864 Connecticut

Profile Details

NPI number 1255439188
LBN Legal business name Killingly Eye Care P.C.
DBA Doing business as
Authorized official Boccuzzi, James L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Oct 21st, 2010 - about 15 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 1255439188 NPPES
Connecticut Other 52KILLEYECT01 BLUE CROSS BLUE SHIELD
Connecticut MEDICAID 4188258 BLUE CROSS BLUE SHIELD

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