Lee Robert Mckinney
Optician Ophthalmic
495 Hawley Ln
Stratford
, Connecticut 06614-1514
Lee Robert Mckinney
Optician Ophthalmic
495 Hawley Ln
Stratford
, Connecticut 06614-1514
(203) 377-4337
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About
Features
Specialties
- Ophthalmic
- Optician
Languages spoken
- English
Location
First Address
- Lee Robert Mckinney
- 495 Hawley Ln
- Stratford, CT
- Zip : 06614-1514
- Fax : (203) 377-4337
- Phone : (203) 375-5819
Second Address
- Lee Robert Mckinney
- 495 Hawley Ln
- Stratford, CT
- Zip : 06614-1514
- Fax : (203) 377-4337
- Phone : (203) 375-5819
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 156FX1100X | Ophthalmic | 1193 | CT |
| Y | 156FX1800X | Optician | 1193 | CT |
National Provider Identifier
| NPI | 1336615764 |
|---|---|
| Provider Name | Lee Robert Mckinney |
| First Address | Stratford, CT 06614-1514 |
| Second Address | Stratford, CT 06614-1514 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2018 |
| Last Update Date | 24/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1114438652 | (05) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.