Kimball, William E
Kimball, William E is an individual health care provider with primary practice located at 1449 Old Waterbury Rd Suite 304, Southbury CT 06488-3926. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kimball, William E can be contacted via phone (203) 267-2020.Contact Information
Primary practice address
1449 Old Waterbury Rd Suite 304
Southbury CT 06488-3926
Phone: (203) 267-2020
Fax: (203) 267-2021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 001088 | Connecticut |
Profile Details
| NPI number | 1205822426 |
|---|---|
| LBN Legal business name | Kimball, William E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Feb 23rd, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205822426 | NPPES |
| Connecticut | MEDICAID | 4063194 |
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