Wild Apple Eye Llc
LBN: Wild Apple Eye Llc
Wild Apple Eye Llc is an health care organization with primary practice located at 90 Main St Ste 101 , Centerbrook CT 06409-1057. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Wild Apple Eye Llc can be contacted via phone (860) 767-3206, or through Paradis, Nicholas Anthony via phone (860) 577-2012.
Contact Information
Primary practice address
90 Main St Ste 101
Centerbrook CT 06409-1057
Phone: (860) 767-3206
Fax:
Website:
Authorized official contact:
Name: Paradis, Nicholas Anthony Doctor of Optometry (OD)
Phone: (860) 577-2012
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X |
Profile Details
| NPI number | 1104465939 |
|---|---|
| LBN Legal business name | Wild Apple Eye Llc |
| DBA Doing business as | |
| Authorized official | Paradis, Nicholas Anthony Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 26th, 2019 |
| Last updated | Sep 29th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104465939 | NPPES |
| Connecticut | MEDICAID | 8073265 | |
| Connecticut | Other | A31568 | |
| Connecticut | Other | 139866 | |
| Connecticut | Other | 4002760 | |
| Connecticut | Other | P5740240 | |
| Connecticut | Other | 12002152 | |
| Connecticut | Other | 1473930 |
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