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NORTHERN CONNECTICUT EYE ASSOCIATES PC NPI 1851512917


NPI Information

NPI: 1851512917
Provider Name: NORTHERN CONNECTICUT EYE ASSOCIATES, PC
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
146 HAZARD AVE SUITE 106
ENFIELD, CT
ZIP 06082
Phone: (860) 763-4046
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NORTHERN CONNECTICUT EYE ASSOCIATES, PC is a corneal and contact management optometrist in Enfield, CT. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. NORTHERN CONNECTICUT EYE ASSOCIATES, PC NPI is 1851512917. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

146 HAZARD AVE SUITE 106
ENFIELD, CT
ZIP 06082
Phone: (860) 763-4046
Fax: (860) 763-3856

The provider's authorized official is Abdul Hami Khaliq .
The authorized official title is President and has the following contact phone number (860) 763-4046.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 11/4/2008.


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
1152WC0802XOptometristCorneal and Contact Management019793CONNECTICUTYes

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
1001197938MEDICAIDCONNECTICUT
20789960001MEDICARE NSCCONNECTICUT
3E08487MEDICARE UPINCONNECTICUT

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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