Active NPIIndividual provider

Lee R Mckinney, LO

Technician/Technologist, Optician in Stratford, Connecticut

NPI Number1336615764
Practice location
495 Hawley Ln, Stratford, CT 06614-1514
Fax
203-377-4337
Last updated
October 24, 2018

Lee Robert Mckinney is a Technician/Technologist, Optician based in Stratford, CT. Lee Robert Mckinney practices in Stratford, CT and has the professional credentials of LO. The NPI Number for Lee Robert Mckinney is 1336615764 and holds a License No. 1193 (CT). The current practice location address for Lee Robert Mckinney is 495 Hawley Ln, Stratford, CT 06614-1514 and can be reached out via phone at 203-375-5819 and via fax at 203-377-4337.

Provider Profile Details

NPI Number
1336615764
Provider Name
Lee Robert Mckinney
Credential
LO
Provider Entity Type
Individual
Gender
Male
Address
495 Hawley Ln, Stratford, CT 06614-1514
Phone Number
203-375-5819
Fax Number
203-377-4337
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
No
Provider Enumeration Date
October 24, 2018
Last Update Date
October 24, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
495 Hawley Ln
Stratford, CT 06614-1514
Zip
06614-1514
Phone Number
203-375-5819
Fax Number
203-377-4337
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
495 Hawley Ln
Stratford, CT 06614-1514
City
Stratford
State
CT
Zip
06614-1514
Phone Number
203-375-5819
Fax Number
203-377-4337

License Information

License Number (1)
1193
License State (1)
CT
Taxonomy (1)
Technician/Technologist, Ophthalmic · 156FX1100X
License Number (2)
1193
License State (2)
CT
Taxonomy (2)
Technician/Technologist, Optician · 156FX1800X · 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 Lee R Mckinney, LO?

The NPI number of Lee R Mckinney, LO is 1336615764. It was assigned on October 24, 2018 and is currently active in the NPPES registry.

What is the specialty of Lee R Mckinney, LO?

Lee R Mckinney, LO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in CT under license number 1193.

Where does Lee R Mckinney, LO practice?

The practice location is 495 Hawley Ln, Stratford, CT 06614-1514. The office can be reached at 203-375-5819 (phone) or 203-377-4337 (fax).

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 1336615764 directly on the NPPES registry website.

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