Reidy, Beverly Ann
Reidy, Beverly Ann is an individual health care provider with primary practice located at 2880 Old Dixwell Ave , Hamden CT 06518. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Reidy, Beverly Ann can be contacted via phone (203) 248-6365.Contact Information
Primary practice address
2880 Old Dixwell Ave
Hamden CT 06518
Phone: (203) 248-6365
Fax: (203) 281-2742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 002053 | Connecticut |
Profile Details
| NPI number | 1265406219 |
|---|---|
| LBN Legal business name | Reidy, Beverly Ann |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Feb 18th, 2013 - about 12 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 | 1265406219 | NPPES |
| Connecticut | MEDICAID | 008022610 |
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