Sidet Sou, Od, Llc

LBN: Sidet Sou, Od, Llc
Sidet Sou, Od, Llc is an health care organization with primary practice located at 69 Pavilion Dr , Manchester CT 06042-8702. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Sidet Sou, Od, Llc can be contacted via phone (860) 644-9439, or through Sou, Sidet via phone (860) 644-9439.

Contact Information

Primary practice address
69 Pavilion Dr Manchester CT 06042-8702
Phone: (860) 644-9439
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sou, Sidet Doctor of Optometry (OD)
Phone: (860) 644-9439

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X CT002732 Connecticut

Profile Details

NPI number 1336301597
LBN Legal business name Sidet Sou, Od, Llc
DBA Doing business as
Authorized official Sou, Sidet Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2008
Last updated Sep 6th, 2023 - about last year

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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