Provider Demographics
NPI:1346377405
Name:CARTIER OPTICAL INC
Entity Type:Organization
Organization Name:CARTIER OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARTIER
Authorized Official - Suffix:JR
Authorized Official - Credentials:LO
Authorized Official - Phone:860-388-0205
Mailing Address - Street 1:266 MAIN ST
Mailing Address - Street 2:P O BOX 522
Mailing Address - City:OLD SAYBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06475-2303
Mailing Address - Country:US
Mailing Address - Phone:860-388-0205
Mailing Address - Fax:860-610-0654
Practice Address - Street 1:266 MAIN ST
Practice Address - Street 2:
Practice Address - City:OLD SAYBROOK
Practice Address - State:CT
Practice Address - Zip Code:06475-2303
Practice Address - Country:US
Practice Address - Phone:860-388-0205
Practice Address - Fax:860-610-0654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1022332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0138250001Medicare NSC