Active NPIOrganization

Proeye, INC.

Optometrist in Lisbon, Connecticut

NPI Number1922147453
Practice location
180 River RD, Lisbon, CT 06351-3249
Fax
518-217-6004
Last updated
November 2, 2022

Proeye, INC. is a healthcare organization based in Lisbon, CT. Proeye, INC. practices in Lisbon, CT. The NPI Number for Proeye, INC. is 1922147453 and holds a License No. 2588 (CT). The current practice location address for Proeye, INC. is 180 River RD, Lisbon, CT 06351-3249 and can be reached out via phone at 860-215-4009 and via fax at 518-217-6004.

Provider Profile Details

NPI Number
1922147453
Provider Name
Proeye, INC.
Provider Entity Type
Organization
Address
180 River RD, Lisbon, CT 06351-3249
Phone Number
860-215-4009
Fax Number
518-217-6004
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Dr. Keith E Watson, OD · President / Owner · 518-217-6008
Other Names
Proeye Associates (Doing Business As)
Provider Enumeration Date
February 5, 2007
Last Update Date
November 2, 2022
Certification Date
November 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 River RD
Lisbon, CT 06351-3249
City
Lisbon
Zip
06351-3249
Phone Number
860-215-4009
Fax Number
518-217-6004
Lisbon, CT 06351Get directions →

Provider Business Mailing Address Details

Address
218 Avalon Pines Dr
Coram, NY 11727-5151
City
Coram
State
NY
Zip
11727-5151
Phone Number
202-909-6805
Fax Number
518-217-6004

License Information

License Number (1)
2588
License State (1)
CT
License Number (2)
2588
License State (2)
CT
Taxonomy (2)
Optometrist, Low Vision Rehabilitation · 152WL0500X
License Number (3)
2588
License State (3)
CT
Taxonomy (3)
Optometrist, Pediatrics · 152WP0200X
License Number (4)
2588
License State (4)
CT
Taxonomy (4)
Optometrist, Sports Vision · 152WS0006X
License Number (5)
2588
License State (5)
CT
Taxonomy (5)
Optometrist, Vision Therapy · 152WV0400X
License Number (6)
2588
License State (6)
CT
Taxonomy (6)
Optometrist, Occupational Vision · 152WX0102X
License Number (7)
2588
License State (7)
CT
Taxonomy (7)
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 Proeye, INC.?

The NPI number of Proeye, INC. is 1922147453. It was assigned on February 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Proeye, INC.?

Proeye, INC. is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 2588.

Where does Proeye, INC. practice?

The practice location is 180 River RD, Lisbon, CT 06351-3249. The office can be reached at 860-215-4009 (phone) or 518-217-6004 (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 1922147453 directly on the NPPES registry website.

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