B.E.K Eyecare, Inc
Organization Active NPI Optometrist · Meriden, CT
NPI 1295939155 · NPPES record last updated Mar 24, 2015
Key facts
- NPI
- 1295939155
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1012 (CT)
- Legal business name
- B.E.K EYECARE, INC
- Practice address
- 512 W Main St
Castle View Plaza
Meriden, CT 06451-2758 - Phone
- (203) 235-2015
- Fax
- (203) 238-1432
- NPI assigned
- Jun 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Armando Rafael, O.D.
- Title
- Optometrist
- Phone
- (203) 235-2015
Practitioners 5
-
Armando Rafael, O.D.
-
Nancy Bui, OD
-
Deborah K Searles, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110608000606 | CT | Part B Supplier - Clinic/Group Practice | 3476671694 |
Receives reassigned benefits from 3 practitioners Practice locations: Meriden, CT |
National Provider Directory
Locations
512 W Main St
Meriden, CT 06451
Phone (203) 235-2015
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1012 | CT | Yes |
Addresses
Primary practice location
512 W Main St
Castle View Plaza
Meriden, CT 06451-2758
Mailing address
512 W Main St
Castle View Plaza
Meriden, CT 06451-2758
Phone (203) 235-2015
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004061248 | Medicaid | CT |
Other names
- Professional Vision Center
Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.