Organization
PREMIER EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BIESTEK (OWNER)
(203) 235-4462
Entity
Organization
Contact information
Practice address
35 PLEASANT STREET 2C, MERIDEN, CT 06450
(203) 235-4462
(203) 238-4436
Mailing address
35 PLEASANT ST STE 2C, MERIDEN, CT 06450-7596
(203) 235-4462
(203) 238-4436
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
000994
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000994
TRICARE
CT
05
—
004053278
—
CT
01
—
090000994CT01
BLUE CROSS AND BLUE SHIELD
CT
01
—
0V1922
HEALTHNET
CT
01
—
117606
EYEMED
CT
01
—
2204200
UNITED HEALTHCARE
CT
01
—
505654
AETNA
CT
01
—
702660
CONNECTICARE
CT
01
—
906424
COMMUNITY HEALTH NETWORK
CT
01
—
P3624859
OXFORD
CT
Enumeration date
05/22/2008
Last updated
05/22/2008
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