Active NPIOrganization

Constitution Eye Surgery Center LLC

Clinic/Center, Ophthalmologic Surgery in Newington, Connecticut

NPI Number1710904537
Practice location
505 Willard Ave, Building 3, Newington, CT 06111-2650
Fax
860-667-2066
Last updated
August 17, 2007

Constitution Eye Surgery Center LLC is a healthcare organization based in Newington, CT. Constitution Eye Surgery Center LLC practices in Newington, CT. The NPI Number for Constitution Eye Surgery Center LLC is 1710904537. The current practice location address for Constitution Eye Surgery Center LLC is 505 Willard Ave, Building 3, Newington, CT 06111-2650 and can be reached out via phone at 860-665-0174 and via fax at 860-667-2066.

Provider Profile Details

NPI Number
1710904537
Provider Name
Constitution Eye Surgery Center LLC
Provider Entity Type
Organization
Address
505 Willard Ave, Building 3, Newington, CT 06111-2650
Phone Number
860-665-0174
Fax Number
860-667-2066
Primary Taxonomy
Clinic/Center, Ophthalmologic Surgery · 261QS0132X
Organization Subpart
No
Authorized Official
Mr. Kris Mineau · Administrator · 860-665-0174
Provider Enumeration Date
July 16, 2006
Last Update Date
August 17, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
505 Willard Ave
Building 3
Newington, CT 06111-2650
Zip
06111-2650
Phone Number
860-665-0174
Fax Number
860-667-2066
Newington, CT 06111Get directions →

Provider Business Mailing Address Details

Address
505 Willard Ave
Building 3
Newington, CT 06111-2650
City
Newington
State
CT
Zip
06111-2650
Phone Number
860-665-0174
Fax Number
860-667-2066

License Information

Taxonomy
Clinic/Center, Ophthalmologic Surgery · 261QS0132X · 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 Constitution Eye Surgery Center LLC?

The NPI number of Constitution Eye Surgery Center LLC is 1710904537. It was assigned on July 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Constitution Eye Surgery Center LLC?

Constitution Eye Surgery Center LLC is registered under the primary taxonomy Clinic/Center, Ophthalmologic Surgery (code 261QS0132X).

Where does Constitution Eye Surgery Center LLC practice?

The practice location is 505 Willard Ave, Building 3, Newington, CT 06111-2650. The office can be reached at 860-665-0174 (phone) or 860-667-2066 (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 1710904537 directly on the NPPES registry website.

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