Active NPIIndividual providerSole proprietor

Mr. William Clinton, LICENSED OPTICIAN

Technician/Technologist, Optician in Old Lyme, Connecticut

NPI Number1932852050
Practice location
29 Old Stagecoach RD, Old Lyme, CT 06371-1337
Fax
—
Last updated
January 28, 2022

William Clinton is a Technician/Technologist, Optician based in Old Lyme, CT. William Clinton practices in Old Lyme, CT and has the professional credentials of LICENSED OPTICIAN. The NPI Number for William Clinton is 1932852050 and holds a License No. 1835 (CT). The current practice location address for William Clinton is 29 Old Stagecoach RD, Old Lyme, CT 06371-1337 and can be reached out via phone at 860-861-0112.

Provider Profile Details

NPI Number
1932852050
Provider Name
William Clinton
Credential
LICENSED OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
29 Old Stagecoach RD, Old Lyme, CT 06371-1337
Phone Number
860-861-0112
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
Yes
Provider Enumeration Date
January 28, 2022
Last Update Date
January 28, 2022
Certification Date
January 28, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Old Stagecoach RD
Old Lyme, CT 06371-1337
Zip
06371-1337
Phone Number
860-861-0112
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
29 Old Stagecoach RD
Old Lyme, CT 06371-1337
City
Old Lyme
State
CT
Zip
06371-1337
Phone Number
860-861-0112

License Information

License Number
1835
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 Mr. William Clinton, LICENSED OPTICIAN?

The NPI number of Mr. William Clinton, LICENSED OPTICIAN is 1932852050. It was assigned on January 28, 2022 and is currently active in the NPPES registry.

What is the specialty of Mr. William Clinton, LICENSED OPTICIAN?

Mr. William Clinton, LICENSED OPTICIAN is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in CT under license number 1835.

Where does Mr. William Clinton, LICENSED OPTICIAN practice?

The practice location is 29 Old Stagecoach RD, Old Lyme, CT 06371-1337. The office can be reached at 860-861-0112 (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 1932852050 directly on the NPPES registry website.

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