Professional Eyecare, Llc

LBN: Professional Eyecare, Llc
Professional Eyecare, Llc is an health care organization with primary practice located at 131 Boston Post Rd Suite 4, Waterford CT 06385-2839. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Professional Eyecare, Llc can be contacted via phone (860) 442-5058, or through Beaulieu, Mary C via phone (860) 442-5058.

Contact Information

Primary practice address
131 Boston Post Rd Suite 4 Waterford CT 06385-2839
Phone: (860) 442-5058
Fax: (860) 443-4118
Website:
Map and Directions
Authorized official contact:
Name: Beaulieu, Mary C Doctor of Optometry (OD)
Phone: (860) 442-5058

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2212 Connecticut

Profile Details

NPI number 1538396080
LBN Legal business name Professional Eyecare, Llc
DBA Doing business as
Authorized official Beaulieu, Mary C Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2009
Last updated Jun 11th, 2009 - 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 1538396080 NPPES
Connecticut MEDICAID 004092277

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