Organization
PRIMARY EYE CARE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM A BERNIER (PRACTICE ADMINISTRATOR)
(860) 243-2020
Entity
Organization
Contact information
Practice address
4 NORTHWESTERN DR, BLOOMFIELD, CT 06002-3444
(860) 243-2020
Mailing address
4 NORTHWESTERN DR, BLOOMFIELD, CT 06002-3444
(860) 243-2020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C13286
RAILROAD MEDICARE
CT
Enumeration date
11/20/2006
Last updated
05/18/2015
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