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EYE CENTER OF SOUTHERN CONNECTICUT PC NPI 1679589014


NPI Information

NPI: 1679589014
Provider Name: EYE CENTER OF SOUTHERN CONNECTICUT PC

Former Legal Business Name: EYE CENTER A MEDICAL SURGICAL GROUP

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2880 OLD DIXWELL AVE
HAMDEN, CT
ZIP 06518
Phone: (203) 248-6365
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EYE CENTER OF SOUTHERN CONNECTICUT PC is a durable medical equipment medical supplies in Hamden, 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 PC NPI is 1679589014. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Eye Center A Medical Surgical Group.

The provider's business location address is:

2880 OLD DIXWELL AVE
HAMDEN, CT
ZIP 06518-144
Phone: (203) 248-6365
Fax: (203) 281-2742

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 enumeration date for this NPI number is 7/31/2006 and was last updated on 10/1/2018.


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
1004067435MEDICAIDCONNECTICUT
20674910001OTHERCONNECTICUTDMERC

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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