Provider Demographics
NPI:1831289263
Name:EYECARE PLUS LLC
Entity Type:Organization
Organization Name:EYECARE PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:203-426-3545
Mailing Address - Street 1:228 S MAIN ST
Mailing Address - Street 2:EYECARE PLUS LLC
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-2764
Mailing Address - Country:US
Mailing Address - Phone:203-426-3545
Mailing Address - Fax:203-364-1866
Practice Address - Street 1:228 S MAIN ST
Practice Address - Street 2:EYECARE PLUS LLC
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-2764
Practice Address - Country:US
Practice Address - Phone:203-426-3545
Practice Address - Fax:203-364-1866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-14
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT2094152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
T22544Medicare UPIN
CT410000514Medicare PIN