Ostrom, Hal Lawrence

Ostrom, Hal Lawrence is an sole proprietor health care provider with primary practice located at 116 E Main St Unit 4, Clinton CT 06413-2120. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Ostrom, Hal Lawrence can be contacted via phone (860) 669-2020.

Contact Information

Primary practice address
116 E Main St Unit 4 Clinton CT 06413-2120
Phone: (860) 669-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2017 Connecticut
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2017 Connecticut

Profile Details

NPI number 1841292802
LBN Legal business name Ostrom, Hal Lawrence
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2005
Last updated Jan 10th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841292802 NPPES
Connecticut Other 0900002017CT02 ANTHEM
Connecticut Other 512366 ANTHEM
Connecticut Other 734485 ANTHEM
Connecticut MEDICAID 004130374 ANTHEM
Connecticut Other 0V0060 ANTHEM
Connecticut Other P384312 ANTHEM

Popular Providers