Crystal Vision West Hartford LLC.
Optometrist in West Hartford, Connecticut
1174926653- Practice location
- 64 Raymond RD, Suite170, West Hartford, CT 06107-2213
- Phone
- 860-442-0380
- Fax
- —
- Last updated
- September 29, 2014
Crystal Vision West Hartford LLC. is a healthcare organization based in West Hartford, CT. Crystal Vision West Hartford LLC. practices in West Hartford, CT. The NPI Number for Crystal Vision West Hartford LLC. is 1174926653 and holds a License No. 002229 (CT). The current practice location address for Crystal Vision West Hartford LLC. is 64 Raymond RD, Suite170, West Hartford, CT 06107-2213 and can be reached out via phone at 860-442-0380.
Provider Profile Details
- NPI Number
- 1174926653
- Provider Name
- Crystal Vision West Hartford LLC.
- Provider Entity Type
- Organization
- Address
- 64 Raymond RD, Suite170, West Hartford, CT 06107-2213
- Phone Number
- 860-442-0380
- Primary Taxonomy
- Optometrist · 152W00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Brian Mann, OD · Owner · 860-442-0380
- Provider Enumeration Date
- September 29, 2014
- Last Update Date
- September 29, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 64 Raymond RD
Suite170
West Hartford, CT 06107-2213 - City
- West Hartford
- State
- Connecticut
- Zip
- 06107-2213
- Phone Number
- 860-442-0380
Provider Business Mailing Address Details
- Address
- 909 Hartford Tpke
Unit D2
Waterford, CT 06385-4267 - City
- Waterford
- State
- CT
- Zip
- 06385-4267
- Phone Number
- 860-442-0380
- Fax Number
- 860-437-1717
License Information
- License Number
- 002229
- License State
- CT
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near West Hartford, CT
View all Optometrists in West Hartford →Frequently Asked Questions
What is the NPI number of Crystal Vision West Hartford LLC.?
The NPI number of Crystal Vision West Hartford LLC. is 1174926653. It was assigned on September 29, 2014 and is currently active in the NPPES registry.
What is the specialty of Crystal Vision West Hartford LLC.?
Crystal Vision West Hartford LLC. is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 002229.
Where does Crystal Vision West Hartford LLC. practice?
The practice location is 64 Raymond RD, Suite170, West Hartford, CT 06107-2213. The office can be reached at 860-442-0380 (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 1174926653 directly on the NPPES registry website.