Active NPIOrganization

4D Optometry, LLC

Optometrist, Vision Therapy in Cromwell, Connecticut

NPI Number1215376967
Practice location
181 Shunpike RD, Cromwell, CT 06416-1143
Fax
—
Last updated
June 17, 2013

4D Optometry, LLC is a healthcare organization based in Cromwell, CT. 4D Optometry, LLC practices in Cromwell, CT. The NPI Number for 4D Optometry, LLC is 1215376967 and holds a License No. 2779 (CT). The current practice location address for 4D Optometry, LLC is 181 Shunpike RD, Cromwell, CT 06416-1143 and can be reached out via phone at 860-632-8423.

Provider Profile Details

NPI Number
1215376967
Provider Name
4D Optometry, LLC
Provider Entity Type
Organization
Address
181 Shunpike RD, Cromwell, CT 06416-1143
Phone Number
860-632-8423
Primary Taxonomy
Optometrist, Vision Therapy · 152WV0400X
Organization Subpart
No
Authorized Official
Dr. Juanita D Collier, MS, OD · Optometrist · 860-632-8243
Other Names
4D Vision Gym (Doing Business As)
Provider Enumeration Date
June 17, 2013
Last Update Date
June 17, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
181 Shunpike RD
Cromwell, CT 06416-1143
Zip
06416-1143
Phone Number
860-632-8423
Cromwell, CT 06416Get directions →

Provider Business Mailing Address Details

Address
181 Shunpike RD
Cromwell, CT 06416-1143
City
Cromwell
State
CT
Zip
06416-1143
Phone Number
860-632-8423

License Information

License Number
2779
License State
CT
Taxonomy
Optometrist, Vision Therapy · 152WV0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 4D Optometry, LLC?

The NPI number of 4D Optometry, LLC is 1215376967. It was assigned on June 17, 2013 and is currently active in the NPPES registry.

What is the specialty of 4D Optometry, LLC?

4D Optometry, LLC is registered under the primary taxonomy Optometrist, Vision Therapy (code 152WV0400X), licensed in CT under license number 2779.

Where does 4D Optometry, LLC practice?

The practice location is 181 Shunpike RD, Cromwell, CT 06416-1143. The office can be reached at 860-632-8423 (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 1215376967 directly on the NPPES registry website.

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