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Organization
EYE MD LLC
Active
Organization
EYE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRIAN HORNBY (OWNER)
(860) 388-1251
Entity
Organization
Contact information
Practice address
48 MAIN ST, OLD SAYBROOK, CT 06475-1510
(860) 388-1251
(860) 388-1253
Mailing address
48 MAIN ST, OLD SAYBROOK, CT 06475-1510
(860) 388-1251
(860) 388-1253
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
NULL
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001261650
—
CT
01
—
010026165CT01
ANTHEM BCBS
CT
01
—
026165
CONNECTICARE
CT
01
—
561020
AETNA
CT
01
—
OVO462
HEALTH NET
CT
01
—
P523114
OXFORD
CT
Enumeration date
03/02/2007
Last updated
04/23/2008
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