Quality Eye Care, LLC
Organization Active NPI Optometrist · Windsor, CT
NPI 1669924254 · NPPES record last updated May 25, 2021
Key facts
- NPI
- 1669924254
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 2984 (CT)
- Legal business name
- QUALITY EYE CARE, LLC
- Practice address
- 502 Windsor Ave
Windsor, CT 06095-4046 - Phone
- (860) 688-5303
- Fax
- (860) 688-5853
- NPI assigned
- Oct 29, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Ronicha Azard Lin, OD
- Title
- Doctor of Optometry
- Phone
- (860) 688-5303
Practitioners 1
-
Ronicha Azard Lin, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170918001849 | CT | Part B Supplier - Clinic/Group Practice | 8022382837 |
Receives reassigned benefits from 1 practitioner Practice locations: Windsor, CT |
National Provider Directory
Locations
65 Raymond Rd
West Hartford, CT 06107
502 Windsor Ave
Windsor, CT 06095
Phone (860) 688-5303
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 2984 | CT | Yes |
Addresses
Primary practice location
502 Windsor Ave
Windsor, CT 06095-4046
Mailing address
502 Windsor Ave
Windsor, CT 06095-4046
Phone (860) 688-5303
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861843658 | Other | CT | NPI 1 |
| 1669924254 | Other | CT | NPI 2 |
Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2021. 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.