Provider Demographics
NPI:1689337123
Name:YAMS GROUP LLC
Entity Type:Organization
Organization Name:YAMS GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERTO
Authorized Official - Suffix:
Authorized Official - Credentials:LO
Authorized Official - Phone:860-268-3302
Mailing Address - Street 1:46 BLUEBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:ELLINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06029-2503
Mailing Address - Country:US
Mailing Address - Phone:860-268-3302
Mailing Address - Fax:
Practice Address - Street 1:46 BLUEBERRY CIR
Practice Address - Street 2:
Practice Address - City:ELLINGTON
Practice Address - State:CT
Practice Address - Zip Code:06029-2503
Practice Address - Country:US
Practice Address - Phone:860-268-3302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty