Provider Demographics
NPI:1235371642
Name:TORRINGTON EYECARE, LLC
Entity Type:Organization
Organization Name:TORRINGTON EYECARE, LLC
Other - Org Name:TORRINGTON EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SIRIGNANO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:860-482-4439
Mailing Address - Street 1:373 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-5050
Mailing Address - Country:US
Mailing Address - Phone:860-482-4439
Mailing Address - Fax:
Practice Address - Street 1:373 MAIN ST
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-5050
Practice Address - Country:US
Practice Address - Phone:860-482-4439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002694152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
V10560Medicare UPIN