- Practice location
- 90 Main St Ste 101, Centerbrook, CT 06409-1057
- Phone
- 860-767-3206
- Fax
- —
- Last updated
- September 29, 2020
Wild Apple Eye LLC is a healthcare organization based in Centerbrook, CT. Wild Apple Eye LLC practices in Centerbrook, CT. The NPI Number for Wild Apple Eye LLC is 1104465939. The current practice location address for Wild Apple Eye LLC is 90 Main St Ste 101, Centerbrook, CT 06409-1057 and can be reached out via phone at 860-767-3206.
Provider Profile Details
- NPI Number
- 1104465939
- Provider Name
- Wild Apple Eye LLC
- Provider Entity Type
- Organization
- Address
- 90 Main St Ste 101, Centerbrook, CT 06409-1057
- Phone Number
- 860-767-3206
- Primary Taxonomy
- Optometrist · 152W00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Nicholas Anthony Paradis, OD · Optometrist · 860-577-2012
- Provider Enumeration Date
- December 26, 2019
- Last Update Date
- September 29, 2020
- Certification Date
- September 29, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Main St Ste 101
Centerbrook, CT 06409-1057 - City
- Centerbrook
- State
- Connecticut
- Zip
- 06409-1057
- Phone Number
- 860-767-3206
Provider Business Mailing Address Details
- Address
- 54 Bokum RD
Old Saybrook, CT 06475-1207 - City
- Old Saybrook
- State
- CT
- Zip
- 06475-1207
- Phone Number
- 860-391-3366
License Information
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Wild Apple Eye LLC?
The NPI number of Wild Apple Eye LLC is 1104465939. It was assigned on December 26, 2019 and is currently active in the NPPES registry.
What is the specialty of Wild Apple Eye LLC?
Wild Apple Eye LLC is registered under the primary taxonomy Optometrist (code 152W00000X).
Where does Wild Apple Eye LLC practice?
The practice location is 90 Main St Ste 101, Centerbrook, CT 06409-1057. The office can be reached at 860-767-3206 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104465939 directly on the NPPES registry website.