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DR JACK HERRLE OD NPI 1528246568


NPI Information

NPI: 1528246568
Provider Name: DR JACK HERRLE OD
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
130 EAST MAIN ST
MERIDEN, CT
ZIP 06450
Phone: (203) 237-8988
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DR JACK HERRLE OD is a durable medical equipment medical supplies in Meriden, CT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DR JACK HERRLE OD NPI is 1528246568. The provider is registered as an organization entity type.

The provider's business location address is:

130 EAST MAIN ST
MERIDEN, CT
ZIP 06450
Phone: (203) 237-8988
Fax: (203) 237-8980

The provider's authorized official is Jack N Herrle .
The authorized official title is Owner Optometrist and has the following contact phone number (203) 237-8988.

The enumeration date for this NPI number is 2/1/2008 and was last updated on 2/1/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies000573CONNECTICUTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10126020001MEDICARE NSCCONNECTICUT

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: 4/28/2024

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