Provider Demographics
NPI:1194809285
Name:INSIGHT BY PHILIPS OPTICAL
Entity type:Organization
Organization Name:INSIGHT BY PHILIPS OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:C;LAIRE
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:LO1014
Authorized Official - Phone:203-239-0111
Mailing Address - Street 1:212 UNIVERSAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-3233
Mailing Address - Country:US
Mailing Address - Phone:203-239-0111
Mailing Address - Fax:203-239-5556
Practice Address - Street 1:212 UNIVERSAL DR.
Practice Address - Street 2:212
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-3233
Practice Address - Country:US
Practice Address - Phone:203-239-0111
Practice Address - Fax:203-239-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1014156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTCT1014OtherEYEMED
CT50PHILIPOCT01OtherANTHEM BLUE CROSS
CTCT1014OtherEYEMED