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SOMERS VISION CLINIC LLC NPI 1295071934


NPI Information

NPI: 1295071934
Provider Name: SOMERS VISION CLINIC, LLC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
48 SOUTH RD # 8
SOMERS, CT
ZIP 06071
Phone: (860) 763-4733
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SOMERS VISION CLINIC, LLC is an optometrist in Somers, CT. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. SOMERS VISION CLINIC, LLC NPI is 1295071934. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

48 SOUTH RD # 8
SOMERS, CT
ZIP 06071-160
Phone: (860) 763-4733
Fax: (860) 749-6795

The provider's authorized official is Steven R Squillace .
The authorized official title is Member and has the following contact phone number (860) 763-4733.

The enumeration date for this NPI number is 12/28/2012 and was last updated on 12/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist002122CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004243648MEDICAIDCONNECTICUT
2T59381MEDICARE UPINCONNECTICUT
3410001030MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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