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EYE CENTER OF SOUTHERN CONNECTICUT P.C. NPI 1942376645


NPI Information

NPI: 1942376645
Provider Name: EYE CENTER OF SOUTHERN CONNECTICUT, P.C.

Doing Business As: EYE CENTER OPTICAL SHOP

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 07D2073894

Address:
249 WEST MAIN STREET
BRANFORD, CT
ZIP 06405
Phone: (203) 483-2000
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EYE CENTER OF SOUTHERN CONNECTICUT, P.C. is a durable medical equipment medical supplies in Branford, 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. EYE CENTER OF SOUTHERN CONNECTICUT, P.C. NPI is 1942376645. The provider is registered as an organization entity type.
The provider Is Doing Business As Eye Center Optical Shop.

The provider's business location address is:

249 WEST MAIN STREET
BRANFORD, CT
ZIP 06405
Phone: (203) 483-2000
Fax: (203) 483-2002

The provider's authorized official is Paul E Masi .
The authorized official title is President and has the following contact phone number (203) 248-6365.

The CLIA number assigned to this NPI record is 07D2073894 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 10/5/2018.


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 SuppliesCONNECTICUTYes

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
10674910003OTHERCONNECTICUTPTAN
2004067435MEDICAIDCONNECTICUT

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.