CONRAD W. KASACK, INC; NPI #1023168325

Contact Information

CONRAD W. KASACK, INC

16 WEST ST
DANBURY, CT 06810-7841

Phone: 203-743-3826
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Eyewear Supplier	332H00000X	87	All Other Suppliers
Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for CONRAD W. KASACK, INC

NPI Number 1023168325

LBN Legal business name CONRAD W. KASACK, INC

Authorized official DOMINICK VOLPE - (PRESIDENT OPTICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/11/2007

Last updated 03/20/2015 - About 11 years ago

Identifiers

CT	License #	001268
CT	Medicaid	004049086

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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CONRAD W. KASACK, INC

Contact Information

Specialty

Eyewear Supplier

Optician

NPI Profile & details for CONRAD W. KASACK, INC

Reviews for CONRAD W. KASACK, INC