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ROBERT JOHN KISH OPTICS UNLIMITED LLC NPI 1477002525


NPI Information

NPI: 1477002525
Provider Name: ROBERT JOHN KISH OPTICS UNLIMITED LLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
748 LONG HILL RD
GROTON, CT
ZIP 06340
Phone: (860) 448-3937
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ROBERT JOHN KISH OPTICS UNLIMITED LLC is a point of service in Groton, CT. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. ROBERT JOHN KISH OPTICS UNLIMITED LLC NPI is 1477002525. The provider is registered as an organization entity type.

The provider's business location address is:

748 LONG HILL RD
GROTON, CT
ZIP 06340-273
Phone: (860) 448-3937
Fax: (860) 449-0343

The provider's authorized official is Robert John Kish .
The authorized official title is Owner and has the following contact phone number (860) 448-3937.

The enumeration date for this NPI number is 9/30/2016 and was last updated on 9/30/2016.


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
1305S00000XPoint of Service797CONNECTICUTYes

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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