PROFESSIONAL OPTICIANS INC; NPI #1063571214

Contact Information

PROFESSIONAL OPTICIANS INC

125 BOSTON POST ROAD
WATERFORD, CT 06385

Phone: 860-442-1167
Fax: 860-443-4118
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for PROFESSIONAL OPTICIANS INC

NPI # 1063571214

LBN Legal business name PROFESSIONAL OPTICIANS INC

Authorized official WILLIAM FOREMAN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/06/2006

Last updated 04/01/2008 - About 18 years ago

Identifiers

CT	License #	L0679
	Other	100000679CT01	BLUE CROSS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PROFESSIONAL OPTICIANS INC

Contact Information

Specialty

Optician

NPI Profile & details for PROFESSIONAL OPTICIANS INC

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