Active NPIIndividual provider

Rattana Meuanethongchanh, LO

Technician/Technologist, Optician in East Windsor, Connecticut

NPI Number1578799904
Practice location
69 Prospect Hill RD, East Windsor, CT 06088-3600
Fax
860-627-6433
Last updated
May 29, 2009

Rattana Meuanethongchanh is a Technician/Technologist, Optician based in East Windsor, CT. Rattana Meuanethongchanh practices in East Windsor, CT and has the professional credentials of LO. The NPI Number for Rattana Meuanethongchanh is 1578799904 and holds a License No. 001597 (CT). The current practice location address for Rattana Meuanethongchanh is 69 Prospect Hill RD, East Windsor, CT 06088-3600 and can be reached out via phone at 860-623-7910 and via fax at 860-627-6433.

Provider Profile Details

NPI Number
1578799904
Provider Name
Rattana Meuanethongchanh
Credential
LO
Provider Entity Type
Individual
Gender
Female
Address
69 Prospect Hill RD, East Windsor, CT 06088-3600
Phone Number
860-623-7910
Fax Number
860-627-6433
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
No
Provider Enumeration Date
May 29, 2009
Last Update Date
May 29, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
69 Prospect Hill RD
East Windsor, CT 06088-3600
Zip
06088-3600
Phone Number
860-623-7910
Fax Number
860-627-6433
East Windsor, CT 06088Get directions →

Provider Business Mailing Address Details

Address
69 Prospect Hill RD
East Windsor, CT 06088-3600
City
East Windsor
State
CT
Zip
06088-3600
Phone Number
860-623-7910
Fax Number
860-627-6433

License Information

License Number
001597
License State
CT
Taxonomy
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 Rattana Meuanethongchanh, LO?

The NPI number of Rattana Meuanethongchanh, LO is 1578799904. It was assigned on May 29, 2009 and is currently active in the NPPES registry.

What is the specialty of Rattana Meuanethongchanh, LO?

Rattana Meuanethongchanh, LO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in CT under license number 001597.

Where does Rattana Meuanethongchanh, LO practice?

The practice location is 69 Prospect Hill RD, East Windsor, CT 06088-3600. The office can be reached at 860-623-7910 (phone) or 860-627-6433 (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 1578799904 directly on the NPPES registry website.

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