Active NPIOrganization

Waterbury Eye Associates LLC

Optometrist in Waterbury, Connecticut

NPI Number1750403051
Practice location
171 N Main St, Waterbury, CT 06702-1405
Fax
—
Last updated
October 24, 2016

Waterbury Eye Associates LLC is a healthcare organization based in Waterbury, CT. Waterbury Eye Associates LLC practices in Waterbury, CT. The NPI Number for Waterbury Eye Associates LLC is 1750403051 and holds a License No. 904 (CT). The current practice location address for Waterbury Eye Associates LLC is 171 N Main St, Waterbury, CT 06702-1405 and can be reached out via phone at 203-754-8413.

Provider Profile Details

NPI Number
1750403051
Provider Name
Waterbury Eye Associates LLC
Provider Entity Type
Organization
Address
171 N Main St, Waterbury, CT 06702-1405
Phone Number
203-754-8413
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Dr. Clinton Runnells Mclean, OD · Owner · 203-754-8413
Provider Enumeration Date
April 6, 2007
Last Update Date
October 24, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
171 N Main St
Waterbury, CT 06702-1405
Zip
06702-1405
Phone Number
203-754-8413
Waterbury, CT 06702Get directions →

Provider Business Mailing Address Details

Address
171 N Main St
Waterbury, CT 06702-1405
City
Waterbury
State
CT
Zip
06702-1405
Phone Number
203-754-8413

License Information

License Number
904
License State
CT
Taxonomy
Optometrist · 152W00000X · 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 Waterbury Eye Associates LLC?

The NPI number of Waterbury Eye Associates LLC is 1750403051. It was assigned on April 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Waterbury Eye Associates LLC?

Waterbury Eye Associates LLC is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 904.

Where does Waterbury Eye Associates LLC practice?

The practice location is 171 N Main St, Waterbury, CT 06702-1405. The office can be reached at 203-754-8413 (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 1750403051 directly on the NPPES registry website.

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