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Contact Information

MATTHEW BLONDIN, BLONDIN SHEA EYE CARE
379 PROSPECT STREET
SUITE B
TORRINGTON, CT06790
 Phone: 860-489-2781
 Fax: 860-489-9017
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MATTHEW BLONDIN, BLONDIN SHEA EYE CARE

NPI Number 1558866509
LBN Legal business name MATTHEW BLONDIN, BLONDIN SHEA EYE CARE
Authorized official MATTHEW BLONDIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/29/2018
Last updated 03/29/2018 - About 8 years ago
Identifiers
CT Medicaid 008072189
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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