West End Eye Care Llc

LBN: West End Eye Care Llc
West End Eye Care Llc is an health care organization with primary practice located at 553 Farmington Ave , Hartford CT 06105-3048. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. West End Eye Care Llc can be contacted via phone (860) 236-5831, or through Hardison, Jerry via phone (860) 236-5831.

Contact Information

Primary practice address
553 Farmington Ave Hartford CT 06105-3048
Phone: (860) 236-5831
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hardison, Jerry Doctor of Optometry (OD)
Phone: (860) 236-5831

Health care specialties

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

Profile Details

NPI number 1275684037
LBN Legal business name West End Eye Care Llc
DBA Doing business as
Authorized official Hardison, Jerry Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Mar 5th, 2010 - 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 1275684037 NPPES
Connecticut MEDICAID 4205250

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