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PRO EYE INC NPI 1710290580


NPI Information

NPI: 1710290580
Provider Name: PRO EYE INC

Former Legal Business Name: PRO EYE ASSOCIATES

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 07D2103916

Address:
219 TALCOTTVILLE RD
SUITE #3
VERNON, CT
ZIP 06066
Phone: (860) 872-3348
Get Directions

PRO EYE INC is an optometrist in Vernon, 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. PRO EYE INC NPI is 1710290580. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Pro Eye Associates.

The provider's business location address is:

219 TALCOTTVILLE RD
SUITE #3
VERNON, CT
ZIP 06066-637
Phone: (860) 872-3348
Fax: (860) 872-3643

The provider's authorized official is Keith E Waton .
The authorized official title is President and has the following contact phone number (860) 872-3348.

The CLIA number assigned to this NPI record is 07D2103916 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2010 and was last updated on 7/21/2010.


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
1152W00000XOptometrist2807CONNECTICUTYes

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
1U83550MEDICARE UPIN
200438912MEDICAIDCONNECTICUT

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: 11/14/2023

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