LEE ROBERT MCKINNEY


Address: 495 Hawley Ln, Stratford, CT 06614-1514
Phone: 2033755819

LEE ROBERT MCKINNEY (NPI# 1336615764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336615764
Entity Type Individual
Full Name LEE ROBERT MCKINNEY
Credential LO
Practice Address 495 Hawley Ln
Stratford
CT 06614-1514
Practice Telephone 2033755819
Practice Fax Number 2033774337
Mailing Telephone 2033755819
Mailing Fax Number 2033774337
Enumeration Date 2018-10-24
Last Update Date 2018-10-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 156FX1100X Technician/Technologist
Specialization: Ophthalmic
1193 CT Eye and Vision Services Providers
Y 156FX1800X Technician/Technologist
Specialization: Optician
1193 CT Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 1114438652 05

Office Location

Street Address 495 HAWLEY LN
City STRATFORD
State CT
Zip Code 06614-1514

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942294772 Paul Gagne Surgery 495 Hawley Ln, Suite 2a, Stratford, CT 06614-1514 2005-09-08
1184109332 Eye Surgery Associates Optical, LLC Clinic/Center 495 Hawley Ln, Stratford, CT 06614-1514 2018-10-03
1962919605 Katharina Ernst-sixto Technician/Technologist 495 Hawley Ln, Stratford, CT 06614-1514 2018-01-03
1114438652 Eye Surgery Associates LLC Technician/Technologist 495 Hawley Ln, Stratford, CT 06614-1514 2017-10-23
1184867723 Michael A Sergi Surgery 495 Hawley Ln, Suite 2a, Stratford, CT 06614-1514 2009-04-13
1114190154 Vicente Antonio Diaz Ophthalmology 495 Hawley Ln, Stratford, CT 06614-1514 2008-04-10
1033318175 Southern Connecticut Vascular Center, LLC Surgery 495 Hawley Ln, Suite 2a, Stratford, CT 06614-1514 2007-07-17
1164579181 Lee J Goldstein Surgery 495 Hawley Ln, Suite 2a, Stratford, CT 06614-1514 2007-01-04
1205846243 Marsel Huribal Surgery 495 Hawley Ln, Suite 2a, Stratford, CT 06614-1514 2006-08-09
1740245703 Eye Surgery Associates LLC Ophthalmology 495 Hawley Ln, Stratford, CT 06614-1514 2006-04-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588139604 David A Crosby Physician Assistant 125 Pumpkin Ground Road, Stratford, CT 06614 2018-10-04
1710489232 Karen Marie Laconte Naturopath 720 Hilltop Dr, Stratford, CT 06614 2018-02-28
1972024693 Amanda Wilson Social Worker 60 Edmund Street, Stratford, CT 06614 2017-07-03
1558801423 Kristine Lynn Conlan Physical Therapist 55 Pasadena Ave., Stratford, CT 06614 2017-02-27
1811440258 Seokwon Kwon Dentist 320 Boston Ave, Stratford, CT 06614 2016-08-02
1093176141 Kathleen G Domek Technician/Technologist 150 Barnum Avenue Cut Off, Stratford, CT 06614 2016-03-17
1417328634 Kelley Machado Social Worker 2127 Nichols Ave, Stratford, CT 06614 2015-10-14
1043629553 Jennifer Woods-mesquita Social Worker 125 Greenlawn Ave, Stratford, CT 06614 2014-08-08
1437564010 Jose R. Pacheco Obstetrics & Gynecology 120 Brightwood Ave, Stratford, CT 06614 2014-06-23
1740612829 Stanley Brovender General Practice 773b Pontiac Lane, Stratford, CT 06614 2013-07-31
Find all providers in zip 06614

Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093176141 Kathleen G Domek Technician/Technologist 150 Barnum Avenue Cut Off, Stratford, CT 06614 2016-03-17
1972689388 Wal-mart Stores East, Lp Technician/Technologist 150 Barnum Ave. Cutoff, Stratford, CT 06614 2006-10-27
1962919605 Katharina Ernst-sixto Technician/Technologist 495 Hawley Ln, Stratford, CT 06614-1514 2018-01-03
1013428754 Alfredo A Angeles-puriaman Technician/Technologist 150 Barnum Avenue Cutoff, Stratford, CT 06614-5111 2017-10-21
1811448442 Family Vision Center Technician/Technologist 775 Main St, Stratford, CT 06615-7406 2016-10-19
1063968915 David Varker Technician/Technologist 150 Barnum Ave. Cutoff, Stratford, CT 06614 2016-08-31
1124572813 Joseph Vanhoose Technician/Technologist 150 Barnum Avenue Cutoff, Stratford, CT 06614-5111 2016-08-10
1275761918 Grover Opticians Technician/Technologist 2505 Main St, Stratford, CT 06615-5839 2009-07-01
1760616478 Brian William Grover Technician/Technologist 2505 Main St, Stratford, CT 06615-5839 2009-05-08
1710946793 Donna Trotta Linsley Technician/Technologist 3060 Main St, Stratford, CT 06614-4945 2006-03-20
Find all providers in STRATFORD

Competitor

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City STRATFORD
Zip Code 06614

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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